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药物配合手术治疗瘢痕疙瘩临床探讨
引用本文:史绯绯,夏晓燕,武晓莉.药物配合手术治疗瘢痕疙瘩临床探讨[J].医药论坛杂志,2007,28(23):39-40.
作者姓名:史绯绯  夏晓燕  武晓莉
作者单位:1. 河南科技大学第一附属医院烧伤整形科,洛阳市,471003
2. 河南科技大学医学院,洛阳市,471003
3. 上海交通大学医学院附属第九人民医院,上海市,200011
摘    要:目的 探讨治疗瘢痕疙瘩的有效方法.方法 将瘢痕疙瘩完全或部分切除,拆线后1周局部注射药物(5-FU 糖皮质激素得宝松或曲安奈德加利多卡因),4周1次,共12次.停药后随访1年.结果 经过1年的治疗,28例瘢痕疙瘩患者,治愈16例(57.14%),显效10例(35.71%),有效2例(7.14%).经为期1年的随访观察,均无复发.结论 手术切除联合药物治疗是治疗瘢痕疙瘩的一种较好方法.

关 键 词:瘢痕疙瘩  手术  糖皮质激素  5-FU  药物配合  手术治疗  瘢痕疙瘩  临床探讨  Corticosteroid  Injection  Surgery  Keloids  联合药物治疗  手术切除  复发  随访观察  显效  治愈  患者  结果  停药  利多卡因  德加  得宝松
文章编号:1672-3422(2007)23-0039-02
收稿时间:2007-10-12
修稿时间:2007年10月12

Treatment of Keloids with Surgery and Injection of Corticosteroid
SHI Feifei,XIA Xiaoyan,WU Xiaoli.Treatment of Keloids with Surgery and Injection of Corticosteroid[J].Journal of Medical Forum,2007,28(23):39-40.
Authors:SHI Feifei  XIA Xiaoyan  WU Xiaoli
Abstract:Objective To study the effective methods of treating keloids.Methods Keloids were excised completely totally or partly during operation,1 week after the stitches were taken out,scars were treated with intralesional injection of corticosteroid and low dose of 5-FU.Injection was given one time per four weeks for total 12 times.Results Total 16 of 28 cases were cured(57.14%),the rest were improved.There has no one recurrence in 1 year follow up.Conclusion It is safe and effective to treat keloids with excision and local injection of corticosteroid and low dose of 5-FU.
Keywords:Keloids  Surgery  Corticosteroid  5-FU
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