瘢痕疙瘩术后即时放疗83例临床分析附视频

被引:14
作者
高立伟 [1 ]
杨顶权 [2 ]
王继英 [1 ]
熊英 [1 ]
洛小林 [1 ]
贾倞 [1 ]
赵克岭 [1 ]
机构
[1] 中日友好医院放射治疗科
[2] 中日友好医院皮肤科
关键词
瘢痕疙瘩; 放射治疗; 复发;
D O I
暂无
中图分类号
R622 [整形手术学];
学科分类号
100224 [整形外科学];
摘要
目的:观察分析瘢痕疙瘩术后24h内即时放疗的疗效及毒副反应。方法:我们对2009年11月2012年11月收治的83例瘢痕疙瘩患者均行手术切除联合24h内放射治疗,采用6Mev电子线进行照射,连续5d为1个疗程,单次剂量3Gy,总剂量为15Gy。通过临床观察和定期随访,记录疗效及放疗毒副反应。结果:83例瘢痕疙瘩患者共97处皮损,术后24h内即时放疗总治愈率为88.7%,有效率94.8%,耳部病灶相比于身体其他部位病灶治愈率显著升高(97.3%vs 83.3%,P<0.05),有效率也有所升高(100%vs 91.7%,P>0.05)。全组病例无严重毒副反应发生。结论:瘢痕疙瘩手术加术后24h内即时放疗安全有效。
引用
收藏
页码:15 / 17+32 +32
页数:4
相关论文
共 9 条
[1]
Postoperative Strontium-90 Brachytherapy in the Prevention of Keloids: Results and Prognostic Factors[J] Gustavo A. Viani;Eduardo J. Stefano;Sergio L. Afonso;Ligia I. De Fendi International Journal of Radiation Oncology; Biology; Physics 2009,
[2]
Postoperative Radiation Protocol for Keloids and Hypertrophic Scars: Statistical Analysis of 370 Sites Followed for Over 18 Months[J] Rei Ogawa;Tsuguhiro Miyashita;Hiko Hyakusoku;Satoshi Akaishi;Shigehiko Kuribayashi;Atsushi Tateno Annals of Plastic Surgery 2007,
[3]
Biologisch effektive Dosierung postoperativer Strahlentherapie zur Prävention von Keloiden: Dosis-Wirkungs-Beziehung[J] Henk B. Kal;Ronald E. Veen Strahlentherapie und Onkologie 2005,
[4]
Postoperative Electron-Beam Irradiation Therapy for Keloids and Hypertrophic Scars: Retrospective Study of 147 Cases Followed for More Than 18 Months[J] Rei Ogawa;Kiyoshi Mitsuhashi;Hiko Hyakusoku;Tuguhiro Miyashita Plastic and Reconstructive Surgery 2003,
[5]
A New Surgical Treatment of Keloid: Keloid Core Excision[J] Yoonho Lee;Kyung-Won Minn;Rong-Min Baek;Jin Joo Hong Annals of Plastic Surgery 2001,
[6]
Abnormal Balance between Proliferation and Apoptotic Cell Death in Fibroblasts Derived from Keloid Lesions[J] Shengkang Luo;Messod Benathan;Wassim Raffoul;Renato G. Panizzon;Daniel V. Egloff Plastic and Reconstructive Surgery 2001,
[7]
Adjunct Therapies to Surgical Management of Keloids[J] BRIAN BERMAN;HARLAN C. BIELEY Dermatologic Surgery 1996,
[8]
肿瘤放射治疗学[M] 陈东福等著;殷蔚伯;谷铣之主编; 中国协和医科大学出版社 2002,
[9]
现代瘢痕治疗学[M] 蔡景龙;张宗学主编; 人民卫生出版社 1998,