多功能电离子手术联合药物治疗耳廓瘢痕疙瘩的临床疗效观察

Multi-function electric ion surgery combined with medication for treatment of auricular keloids

摘要:

目的  评价多功能电离子手术联合复方肝素钠尿囊素凝胶治疗耳廓瘢痕疙瘩的临床疗效。方法  将92例（110耳）耳廓瘢痕疙瘩患者随机分为治疗组和对照组。治疗组55耳予以多功能电离子手术联合复方肝素钠尿囊素凝胶治疗；对照组55耳予以常规手术切除联合复方肝素钠尿囊素凝胶治疗，评价临床疗效。结果  92例（110耳）患者治疗结束后随访1年。其中治疗组55耳治愈40耳（72.73%），显效9耳（16.36%），无效6耳（10.91%），有效率为89.09%；对照组55耳治愈26耳（47.27%），显效15耳（27.27%），无效14耳（25.45%），有效率为74.54%。对两组患者的治疗有效率进行比较，差异有统计学意义（χ2 =7.670，P =0.022）,治疗组有效率（89.09%）高于对照组（74.54%）。结论  多功能电离子手术联合复方肝素钠尿囊素凝胶是治疗耳廓瘢痕疙瘩的有效方法。

Abstract:

Objective To evaluate the clinical effects of multi-function electric ion surgery combined with Compound Heparin Sodium and Allantoin Gel in the treatment of auricular keloids. Methods Ninty-two patients (110 ears) with auricular keloids were randomly divided into treatment group and control group. The 55 ears in the treatment group were treated by multi-function electric ion surgery combined with Compound Heparin Sodium and Allantoin Gel, 55 ears in the control group were treated by conventional operation and Compound Heparin Sodium and Allantoin Gel. Results All the 92 cases (110 ears) were followed up for one year. In the treatment group, 40 ears (72.73%) were cured, the treatment was efficient for 9 ears (16.36%) and invalid for 6 ears (10.91%); the total efficiency rate was 89.09%. In the control group, 26 ears were cured (47.27%), the treatment was efficient for 15 ears (27.27%) and invalid for 14 ears (25.45%); the total efficiency rate was 74.54%. The effective rate of the treatment group was significantly higher than that of the control group (χ2 = 7.670, P = 0.022). Conclusions Multi-function electric ion surgery combined with Compound Heparin Sodium and Allantoin Gel is an effective method for treatment of auricular keloids.