首页|瘢痕核心切除术联合放疗治疗胸壁瘢痕疙瘩的疗效分析

瘢痕核心切除术联合放疗治疗胸壁瘢痕疙瘩的疗效分析

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目的 探究瘢痕核心切除术联合放疗治疗胸壁瘢痕疙瘩的临床治疗效果。方法 回顾分析2022年1-12月在本院进行瘢痕核心切除术治疗胸腔瘢痕疙瘩患者79例,术后予以放疗干预,术后24h内完成第一次放疗,累积剂量范围20~25Gy(4~5次),于术后1个月、2个月、半年对患者进行随访,分析患者治疗效果以及并发症情况,对比治疗前、治疗半年后瘢痕疙瘩严重程度情况(VSS评分)。结果 治疗前患者瘢痕疙瘩较严重,经治疗,半年后患者瘢痕疙瘩严重程度评分较治疗前下降(P<0。05),术后1个月、2个月、半年治疗有效情况分别为93。6%、91。1%、82。2%,治疗有效率较高,对患者术后并发症情况分析,1个月后4例出现色素沉着、2个月后8例出现色素沉积/局部毛细血管扩张,半年后10例出现色素沉积/局部毛细血管扩张,概率较低。结论 瘢痕核心切除术联合放疗治疗胸壁瘢痕疙瘩效果理想,可有效改善患者的瘢痕情况,安全性较高。
Curative Effect Analysis of Scar Core Resection Combined with Radiotherapy in Treatment of Chest Wall Scar Nodules
Objective To explore clinical curative effect of scar core resection combined with radiotherapy in treatment of chest wall keloids.Methods The paper chose The paper reviewed and analyzed 79 patients with thoracic scar nodules with scar core resection surgery in our hospital from January 2022 to December 2022,treated with postoperative radiotherapy intervention,the first radiotherapy was completed within 24 hours after surgery,with cumulative dose range of 20~25 Gy(4~5 times).Patients were followed up 1 month,2 months,and 6 months after surgery to analyze treatment effect and complications.Severity of keloids after 6 months of treatment(VSS scores)was compared with before treatment.Result Patients had severe scars before treatment.After treatment,severity scores of scars decreased after 6 months(P<0.05).Results Effective rates of treatment were 93.6%,91.1%,and 82.2%after one month,two months,and six months respectively,with high treatment effective rate.Analysis of postoperative complications showed,four patients experienced pigment deposition after one month,eight patients experienced pigment deposition/local capillary dilation after two months,After 6 months,probability of 10 people experiencing pigment deposition/local capillary dilation was relatively low.Conclusion Scar core resection combined with radiotherapy can achieve ideal effect for chest wall scar tissue,can improve scar condition of patients effectively,which has high safety.

Scar core excision surgeryRadiation therapyChest wall scarCurative effect

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上海市杨浦区市东医院 肿瘤放疗科,上海 200438

瘢痕核心切除术 放疗 胸壁瘢痕疙瘩 疗效

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(3)
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