- 期刊
Combined Therapy of Surgical Excision and Electron Beam Irradiation for the Treatment of Keloid
合併利用外科切除術及電子光束治療蟹足腫
摘要
在蟹足腫的治療與預防上，合併外科切除及電子光束照射療效不錯，但缺乏長期追蹤報告。台中榮總自1997年8月至1998年12月，共在41個病人身上，43處蟹足腫，予以切除後再以電子光束治療。初期成效不錯，療效達74.4%。我們也發現某些區域有容易再發的情形。我們並且討論治療結果可能原因及作文獻回顧。總而言之，治療蟹足腫可合併數種療法，且有一定的療效；但仍須長期追蹤治療，方可將其復發率減至最低。
關鍵字
無資料並列摘要
We prospectively evaluated the response to surgical excision followed by electron beam irradiation of 43 sites of keloid in 41 patients followed up for an average of 19 months. All patients followed the same protocol: keloidectomy, sutured with 2 layers, and electron beam irradiation. After a follow-up phone call and OPD visit to each of the patients, the response rate was 74.4%. However, there was a tendency for the keloid to recur. There was a statistical significance between responses A & B and response C (17.8±7.6 vs.23.6±6.2 months, p=0.029). There was also a regional difference in response. Combined therapy of surgical excision and electron beam irradiation is fast and the results are fair. Combined therapy of surgical excision, electron beam irradiation and steroid infiltration is probably more effective than any other single treatment modality in short period. But long-term results may require further investigation under more strict study design.
延伸閱讀
- 顏上惠（1984）。手術後電子射線治療以預防蟹足腫及肥厚性瘢痕之復發。中華放射線醫學雜誌，9(1)，19-28。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198403-201712290023-201712290023-19-28
- Yen, J. H., Chen, I. C., Ou, L. F., Tang, Y. W., & Lin, G. C. (2002). 合併腫瘤切除類固醇注射及術後電子束治療蟹足腫. 中華民國整形外科醫學會雜誌, 11(2), 103-112. https://doi.org/10.7096/JPSA.200206.0103
- Huang, P., Lu, S. Y., & Chiou, J. F. (1997). 利用電子光與切除術在治療蟹足腫之初步報告. 中華民國重建整形外科醫學會雜誌, 6(4), 253-258. https://doi.org/10.7096/JPRSA.199712.0253
- 曾鐘毅、程言鼎、陳臣苑、蔡宜君、王軒庭、陳柏元、林士敏（2019）。耳部蟹足腫手術切除合併術後放射治療。中華放射線技術學雜誌，43(2)，77-83。https://www.airitilibrary.com/Article/Detail?DocID=16849418-201906-201910180006-201910180006-77-83
- Chi, T. H., Yean, Y. S., Hsu, C. K., Tsai, W. C., & Chang, P. Y. (2011). 腹腔鏡輔助經陰道子宮切除術後臍部蟹足腫：病例報告. 南臺灣醫學雜誌, 7(2), 119-122. https://doi.org/10.6726/MJST.201112_7(2).0006