- 期刊
Combined Treatment of Keloid with Surgical Excision, Steroid Injection and Electron Beam Therapy
合併腫瘤切除類固醇注射及術後電子束治療蟹足腫
摘要
對於蟹足腫的治療有甚多的報告，在本文章中，我們將分析本院合併同時腫瘤切除，類固醇注射及術後電子束治療之效果。有二組蟹足腫病人接受治療後分析，第一組為接受腫瘤切除及術後電子束治療，第二組為接受腫瘤切除，術中類固醇注射及術後電子束治療。術後的效果可分為良好、改善及失敗。在第一組39個病例(43處病灶)平均追綜31.1個月，有16處復發，復發率37%。第二組26個病例(31處病灶)平均追綜13.1個月，有5處復發，復發率16.1%。其統計學上有明顯差異(P值0.0472)。而此兩組中，發生部位，家族史，性別與術後結果並無明顯差異。在第二組中，有三例的傷口遲緩癒合必須二次縫合。臨床上的外觀，症狀可獲改善，滿意度增加。雖然持續成果仍需長時間追綜，但我們認為對較嚴重或多次治療無效的病患，此種多重組合式治療可提供另一個治療的選擇。
關鍵字
無資料並列摘要
There numerous clinical reports of keloid treatments. In this paper we had evaluated the effectiveness of a combination therapy in steroid injection, and electron beam irradiation of keloid treatments in our hospital. There were two groups: excision followed by electron beam therapy (Group l) and excision with the steroid injection followed by electron beam therapy (Group 2). The result of the treatments was recorded as ”good”, ”improved”, or ”failure”. In group 1, 43 keloids in 39 patients were treated. Average follow-up period was 31.1±4.5 months. There were 16 keloid treatments that resulted in ”failure”. The recurrent rate was 37%. In Group 2, 31 keloids in 26 patients were treated. The average follow-up period was 13.1±5.7 months. There were 5 keloid treatments that resulted in ”failure” and the recurrent rate was 16.1%. There was a significant difference between group 1 and 2(P=0.0472). Wound disruption with poor healing and secondary procedure was performed in three patients. The cosmetic result was improved in both methods. However, the ”multiple combination treatment”, with the excision of keloid, injection with the steroid immediately followed by electron beam therapy was more beneficial and effective. It provided us an alternative method for treatment of disfiguring or refractory keloid lesion.
延伸閱讀
- 健康世界編輯部（2019）。手術＋放療，提高蟹足腫治療成功率。健康世界，(512)，62-64。https://www.airitilibrary.com/Article/Detail?DocID=16077059-201908-201908140011-201908140011-62-64
- 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
- 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
- Cheng, M. J., Yan, R. S., Lin, J. C., Ou, L. F., Chen, I. C., & Tang, Y. W. (2000). 合併利用外科切除術及電子光束治療蟹足腫. 中華民國整形外科醫學會雜誌, 9(4), 246-253. https://doi.org/10.7096/JPSA.200012.0246
- Lin, L. Y., Lee, J. J., Liu, C. C. H., & Chen, M. T. (2013). 治療關節處蟹足腫之實例的演變加以介紹. 臺灣整形外科醫學會雜誌, 22(2), 108-116. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201306-201307160050-201307160050-108-116