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頁籤選單縮合
題名 | Treatment of Keloid with Excision and Postoperative Electron Beam Irradiation a Preliminary Report=利用電子光與切除術在治療蟹足腫之初步報告 |
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作 者 | 黃耀主; 呂旭彥; 邱仲峰; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 6:4 1997.12[民86.12] |
頁次 | 頁253-258 |
分類號 | 416.41 |
關鍵詞 | 電子光; 切除術; 蟹足腫; Keloid; Electron beam; Excision; |
語文 | 英文(English) |
中文摘要 | 在蟹足腫的治療與預防上總是醫師們最大的惡夢,試用過的方法總因為復發機會 高和病人無法忍受而告失敗。近年來,有人利用小劑量的X光治療蟹足腫,而有相當的療效, 但利用比X光更安全的電子光在治療蟹足腫之報告卻不常見。國泰醫院與臺北醫學院附設醫 院從1997年4月至12月共在18個病人身上的22處蟹足腫給于切除後,再使用電子光治療。 1至9個月的追琮只有一個(5﹪)患者有復發情形,其他都在外觀上與症狀上有明顯的改 進,目前沒有發現任何副作用。我們初步的結論是利用切除術與電子光可以有效預防蟹足腫 再發。 |
英文摘要 | We evaluated the effectiveness of excision followed by electron beam therapy in the treatment of keloids. A prospective study of 18 patients with 22 sites of keloid for a mean follow up time of 4 months. Recurrence rate, side effects, and effectiveness of therapy were asessed. All patients followed a same protocol: They underwent keloidectomy performed by the same surgeon; all received early postoperative electron beam irradiation of the same total dosage; and all were followed monthly. Preliminary results showed only one (5%) prosttreatment recurrence of keloid, no side effects, and 89% satisfactory rate were obtained. Therefore, early results showed that excision followed by electron beam therapy maybe a useful and effective method of keloid eradication. |
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