天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

手術聯(lián)合多種方法治療耳部瘢痕的療效對比研究

發(fā)布時間:2019-08-14 13:13
【摘要】:目的:評價耳部瘢痕手術切除聯(lián)合術中糖皮質激素局部注射及術后淺層電子線照射治療的臨床效果,以期找到一套以外科手術為主的個性化綜合治療體系。方法:將160例耳部瘢痕患者分為單純手術組、手術聯(lián)合得寶松局部注射組、手術聯(lián)合淺層電子線照射組及手術聯(lián)合術中激素和術后淺層電子線照射組(三聯(lián)療法組),并隨訪1年。依據Darzi的瘢痕疙瘩療效標準判斷療效,并進行統(tǒng)計學分析。結果:術后1年單純手術組有效率為52.5%,手術聯(lián)合得寶松局部注射組有效率為80.0%,手術聯(lián)合淺層電子線照射組有效率為82.5%,三聯(lián)療法組有效率為97.5%。單純手術組的療效明顯低于其他3組(P0.01);三聯(lián)療法組的療效優(yōu)于手術聯(lián)合淺層電子線照射組以及手術聯(lián)合得寶松注射組,差異有統(tǒng)計學意義(P0.05);而手術聯(lián)合得寶松注射組與手術聯(lián)合淺層電子線照射組相比,療效差異無統(tǒng)計學意義(P0.05)。結論:在耳部瘢痕治療中,單純手術切除療效差,不推薦;三聯(lián)療法優(yōu)于手術聯(lián)合糖皮質激素局部注射和手術聯(lián)合淺層電子線照射,應作為治療首選;手術聯(lián)合糖皮質激素局部注射和手術聯(lián)合淺層電子線照射療效總體滿意,可以根據具體情況個性化使用。
[Abstract]:Objective: to evaluate the clinical effect of surgical resection of ear scar combined with local injection of glucocorticoid and superficial electron ray irradiation after operation in order to find a personalized comprehensive treatment system based on surgery. Methods: 160 patients with ear scar were divided into simple operation group, local injection group, operation combined with superficial electron ray irradiation group and operation combined with intraoperative hormone and postoperative superficial electron ray irradiation group (triple therapy group). The patients were followed up for 1 year. According to the curative effect standard of Darzi keloid, the curative effect was judged and analyzed statistically. Results: one year after operation, the effective rate was 52.5% in the operation group, 80.0% in the local injection group, 82.5% in the operation combined with superficial electron ray irradiation group, and 97.5% in the triple therapy group. The curative effect of the simple operation group was significantly lower than that of the other three groups (P 0.01); the curative effect of the triple therapy group was better than that of the operation combined with shallow electron ray irradiation group and the operation combined with Debaosong injection group, the difference was statistically significant (P 0.05), but there was no significant difference between the operation combined with Baosong injection group and the operation combined with shallow electron ray irradiation group (P 0.05). Conclusion: surgical resection alone is not recommended in the treatment of ear scar, and triple therapy is superior to operation combined with local injection of glucocorticoid and operation combined with superficial electron ray irradiation, which should be the first choice for treatment. The curative effect of operation combined with local injection of glucocorticoid and operation combined with superficial electron line irradiation is generally satisfactory and can be used individualized according to the specific situation.
【作者單位】: 山西省人民醫(yī)院耳鼻咽喉科;山西省兒童醫(yī)院手術部;
【分類號】:R764.9
,

本文編號:2526590

資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/wuguanyixuelunwen/2526590.html


Copyright(c)文論論文網All Rights Reserved | 網站地圖 |

版權申明:資料由用戶b9050***提供,本站僅收錄摘要或目錄,作者需要刪除請E-mail郵箱bigeng88@qq.com
在线免费观看一二区视频| 在线观看那种视频你懂的| 美女极度色诱视频在线观看| 中文人妻精品一区二区三区四区| 成人精品欧美一级乱黄| 亚洲精品国产第一区二区多人| 福利新区一区二区人口| 日韩三极片在线免费播放| 国产一区日韩二区欧美| 国产在线小视频你懂的| 国产精品一区二区不卡中文 | 亚洲国产av精品一区二区| 亚洲黄色在线观看免费高清| 亚洲欧美日韩在线看片 | 久久免费精品拍拍一区二区| 国语久精品在视频在线观看| 欧美日韩国产午夜福利| 日韩美女偷拍视频久久| 搡老熟女老女人一区二区| 亚洲国产精品国自产拍社区| 狠狠亚洲丁香综合久久| 日韩高清一区二区三区四区| 亚洲欧美日韩精品永久| 熟女乱一区二区三区丝袜| 欧美自拍偷自拍亚洲精品| 亚洲一区二区精品免费视频| 国产成人午夜av一区二区| 黄色片一区二区在线观看| 国产亚州欧美一区二区| 亚洲欧美中文日韩综合| 亚洲一区二区三区一区| 亚洲国产精品久久综合网| 国产伦精品一一区二区三区高清版| 国产白丝粉嫩av在线免费观看| 欧美91精品国产自产| 久久永久免费一区二区| 欧美熟妇一区二区在线| 亚洲国产一区精品一区二区三区色| 国产三级视频不卡在线观看| 日韩精品你懂的在线观看| 91免费精品国自产拍偷拍|