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核摘除术结合^90Sr-^90Y敷贴器放射治疗耳部瘢痕疙瘩
引用本文:马群,翟嵩超,范飞,王盛,王青宾. 核摘除术结合^90Sr-^90Y敷贴器放射治疗耳部瘢痕疙瘩[J]. 实用美容整形外科杂志, 2011, 0(6): 360-362
作者姓名:马群  翟嵩超  范飞  王盛  王青宾
作者单位:[1]四平市中心医院整形美容外科,吉林四平136000 [2]四平市中心医院放免中心 ,吉林四平136000 [3]中国医学科学院整形外科医院整形十二科 ,吉林四平136000 [4]柳州市华美整形美容医院,吉林四平136000
摘    要:目的探讨瘢痕核摘除术结合^90Sr-^90Y敷贴器放射治疗耳部瘢痕疙瘩的方法和疗效。方法回顾性分析自2007年1月至2010年2月收治的59例耳部瘢痕疙瘩患者,采用保留瘢痕皮肤的核摘除,并于术后结合帅^90Sr-^90Y敷贴器放射治疗1~2个疗程(1个疗程吸收剂量20~30Gy),观察并分析术后疗效。结果本组59例患者(64处瘢痕疙瘩),经1~3年随访,治愈者53例(89.8%),显效者6例(10.2%)。结论核摘除术结合^90Sr-^90Y敷贴器放射治疗耳部瘢痕疙瘩安全,高效,值得临床推广。

关 键 词:  瘢痕疙瘩  核摘除术  ^90Sr-^90Y敷贴治疗

Treatment of ear keloids by core excision and ^90Sr-^90Ylocal irradiation
Affiliation:MA Qun, ZHAI Song-chao, FAN Fei, et aL (Department of Plastic and Cosmetic Surgery, The Central Hospital of Siping City, Siping 136000, China)
Abstract:Objective To explore the effect and method of core excision and ^90Sr-^90Y local irradiation for the treatment of ear keloid. Methods A retrospective study was performed on 59 patients with ear keloids received from January 2007 to February 2010. ^90Sr-^90Y local irradiation was carried out for 1 to 2 treatment courses (20 to 30 Gy for each course) after core excision in all cases, and the curative effects were observed and analyzed. Results After 1 to 3 years follow-up in totally 59 cases (64 keloids), excellent results were received in 53 cases (89.8%) and effective in 6 cases ( 10.2% ). Conclusion It is a safe and optimal method of core excision and ^90Sr-^90Y local irradiation for the treatment of ear keloid. It worth spreading in clinic.
Keywords:Ear  Keloid  Core excision  ^90Sr-^90Y local irradiation
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