手术切除美容缝合联合醋酸曲安奈德局部注射治疗耳廓瘢痕疙瘩

Surgical Resection and Cosmetic Suture Combined with Local Injection of Triamcinolone Acetonide Acetate in the Treatment of Auricular Keloid

目的:观察手术切除美容缝合联合醋酸曲安奈德局部注射治疗耳廓瘢痕疙瘩的临床及美学效果。方法:选取2019年1月-2022年12月笔者医院耳鼻喉科收治的106例耳廓瘢痕疙瘩患者,按随机掷硬币法分为常规组和联合组,每组53例。常规组行手术切除后美容缝合治疗,联合组在常规组基础上局部注射醋酸曲安奈德。观察两组患者临床疗效、温哥华瘢痕量表(Vancouver scar scale,VSS)评分、美学满意度及并发症发生情况。结果:术后6个月,联合组治疗总有效率高于常规组(P<0.05);术后3、6个月,联合组VSS评分低于常规组(P<0.05),美学满意度评分高于常规组(P<0.05);联合组并发症(皮肤萎缩、局部坏死、色素脱失)总发生率低于常规组(P<0.05)。结论:手术切除美容缝合联合醋酸曲安奈德局部注射治疗耳廓瘢痕疙瘩安全有效,患者美学满意度高,值得在临床推广应用。

Objective To observe the clinical and aesthetic effects of surgical resection and cosmetic suture combined with local injection of triamcinolone acetonide acetate in the treatment of auricular keloid.Methods 106 patients with auricular keloid admitted to otolaryngology department of the author's hospital from January 2019 to December 2022 were selected and divided into conventional group and combined group by the random coin tossing method,with 53 cases in each group.The conventional group was given cosmetic suture after surgical resection,and the combined group was given local injection of triamcinolone acetonide acetate on the basis of the conventional group.The clinical efficacy,Vancouver scar scale(VSS),aesthetic satisfaction and occurrence of complications were observed in both groups.Results At 6 months after operation,the total effective rate of treatment in the combined group was higher than that in the conventional group(P<0.05).At 3 and 6 months after operation,the VSS scores of the combined group were lower than those of the conventional group(P<0.05),and the aesthetic satisfaction scores were higher than those of the conventional group(P<0.05).The total incidence of complications(skin atrophy,local necrosis,and depigmentation)in the combined group was lower than that in the conventional group(P<0.05).Conclusion Surgical resection and aesthetic suture combined with local injection of triamcinolone acetonide acetate is safe and effective in the treatment of auricular keloid,and it has high aesthetic satisfaction of patients and is worthy of clinical promotion and application.