难治性瘢痕疙瘩的治疗进展

The advance in the therapy of therapy-resistant keloids

  • 摘要: 瘢痕疙瘩是一种良性真皮肿瘤,难治性瘢痕疙瘩包括经病灶手术切除联合X线外放疗、药物治疗、局部注射皮质激素或钙离子阻滞剂、硅凝胶治疗、物理治疗等无效或复发的瘢痕疙瘩,这种不能行上述治疗的或合并感染的瘢痕,治疗困难、复发率高。应用32P及辅助一定浓度的维生素E对难治性瘢痕疙瘩的治疗可能有潜在的重要作用。

     

    Abstract: Keloids are huamn benign dermal tumors, excessive fibroproliferative disorders that enlarge and extend beyond the margins of the origin wounds. Some keloids have proven to be very resistant to treatment, for example, several treatment modalities including surgical excision in combination with radiotherapy in the form of roentgen radiation (X-ray), pharmaceuticals, intralesional corticosteroids or calcium ions blocking agents, silicone gel sheets, physical therapy such as pressuretherapy, lasertherapy, cryotherpay might be less efficacious, and sometimes they cannot be performed because of limited conditions.Some keloids have higher recurrence rates. It is difficult to treat some keloids with complications of infection,32p-phosphours combination with vittamin E may be iuseful to treat therapy-resistant keloids.

     

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