颈部手术围瘢痕期应用曲安奈德对比分析研究

目的：对比分析颈部手术围瘢痕期应用曲安奈德的临床疗效。方法采用温哥华瘢痕量表法、参照刘文阁疗效判断标准，将颈部手术后82例患者，分为围瘢痕期应用曲安奈德41例（观察组），不使用任何药物41例（对照组），对比分析两组的瘢痕愈合情况。结果伤口愈合的不同时期，观察组的温哥华瘢痕量表评分均低于对照组，瘢痕愈合的总有效率亦明显高于对照组（ P＜0．05）。结论曲安奈德能有效预防及减弱颈部手术后瘢痕的形成。

Comparative research of triamcinolone acetonide in perioperative period of neck surgery

Objective To make a balance analysis with triamcinolone acetonide's clinical effect in the treatment of neck sur?gery in perioperative period. Methods According to Liu Wen?ge efficacy criteria, Vancouver scar scale was used. In 82 cases of neck surgery patients, 41 cases were used triamcinolone acetonide in the perioperative period, while the control group of 41 cases received nothing. Scar healing of the two groups were comparative researched. Results Different healing time after neck surgery, the Vancouver scar of using triamcinolone acetonide group ( observation group) was all higher than that of using triamcinolone acetonide group ( control group) , and the total effective rate in treatment group which injected triamcinolone acetonide around the time of scar was also higher than that of in control group which received nothing (P<0.05). Conclusion Triamcinolone acetonide can defend and decrease scar forming effectively after neck surgery .