【摘要】 目的:探讨放射性90锶敷贴联合手术治疗皮肤瘢痕疙瘩的临床疗效。方法:对321例1086处瘢痕病变分别采用单纯放射性90锶照射治疗(对照组,75例,210处)和放射性90锶联合手术治疗(治疗组,246例,876处),并随访2～4年观察疗效。结果:治疗组246例患者876处病灶,其中治愈708处,治愈率80.82%(708/876),有效率91.67%(803/876)。对照组75例患者210处病灶,其中治愈141处,治愈率67.14%(141/210),有效率82.38%(173/210)。两组治愈率、有效率比较有统计学差异。肩背部复发率20.51%(32/156),其他部位复发率7.60%(8/105),肩背部和其他部位复发率有统计学差异,肩背部复发率最高。结论:放射性90锶联合手术治疗瘢痕疙瘩是一种效果较好的方法,具有应用和推广的价值。更多还原

【Abstract】 Objective:To investigate the treatment of skin keloid with the radioactive strontium 90 combine operation clinical efficacy together.Methods:1086 sites of keloids in 336 patients were divided into two groups:control group,treated only with β radiation(n=75,s=210);treatment group,withβ radiation after surgical excision(n=261,s=876),they were followed up for two years.Treatment were started in the 24 hours after surgery.Results:treatment group:261 patients with 876 keloid skin lesions,708 were cured,the cure rate was 80.82%(708/876),efficiency was 91.67%(803/876).control group:75 patients with 210 keloid skin lesions,141 were cured,the cure rate was 67.14%(141/210),efficiency was 82.38%(173 /210).There were significant difference efficiency and cure rate between the two groups.The recurrence rate of shoulder and back was 20.51%(32/156),The other parts was 7.6%(8/105).There ware significant different recurrence rate in the shoulder and back between the other parts.The recurrence rate in shoulder and back was the highest.Conclusion:The radioactive strontium 90 combined with operation is an effective method of skin keloids.It has application and popularization.更多还原