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    赵坤, 姚忠军, 杨帆, 何贞, 郑梁. 旋髂浅动脉穿支皮瓣联合术后核素放疗治疗会阴部瘢痕疙瘩的效果观察[J]. 徐州医科大学学报, 2019, 39(12): 917-919.
    引用本文: 赵坤, 姚忠军, 杨帆, 何贞, 郑梁. 旋髂浅动脉穿支皮瓣联合术后核素放疗治疗会阴部瘢痕疙瘩的效果观察[J]. 徐州医科大学学报, 2019, 39(12): 917-919.
    The effect of superficial peroneal artery perforator flap combined with radionuclide radiotherapy for the treatment of perineal keloid[J]. Journal of Xuzhou Medical University, 2019, 39(12): 917-919.
    Citation: The effect of superficial peroneal artery perforator flap combined with radionuclide radiotherapy for the treatment of perineal keloid[J]. Journal of Xuzhou Medical University, 2019, 39(12): 917-919.

    旋髂浅动脉穿支皮瓣联合术后核素放疗治疗会阴部瘢痕疙瘩的效果观察

    The effect of superficial peroneal artery perforator flap combined with radionuclide radiotherapy for the treatment of perineal keloid

    • 摘要: 目的探讨旋髂浅动脉穿支皮瓣联合术后核素放疗治疗会阴部瘢痕疙瘩的效果及合理性。方法选取2014年5月至2017年5月阴部瘢痕疙患者治疗方法不同回忆性分为两组,分别采用皮肤软组织扩张术和旋髂浅动脉穿支皮瓣联合核素放疗。评价两组患者疗效,统计两组患者治疗前后组织病理学评分、手术时间、术中出血量、缺损愈合时间、术后并发症等情况,并对研究组患者皮瓣情况进行统计。结果研究组患者治疗后疗效优的比例明显高于对照组,良的比例与对照组相近,差的比例则明显低于对照组,研究组患者治疗后组织病理学评分0分的比例明显低于对照组,评分1分的比例稍低于对照组,而评分2分的比例明显高于对照组,研究组34例患者中仅有1例患者出现了皮瓣局部坏死,有3例患者出现了皮瓣苍白,研究组患者皮瓣两点辨别觉为1.05±0.12 cm,研究组术中出血量皮肤坏死术后月内疙瘩出现的比例明显低于对照组。结论旋髂浅动脉穿支皮瓣联合核素放疗对会阴部瘢痕疙瘩具有良好修复效果及较少的术后并发症。

       

      Abstract: Objective: To investigate the effect and rationality of percutaneous iliac artery perforator flap combined with postoperative radionuclide radiotherapy on perineal keloid. Methods: Totally 65 cases of genitourinary keloid treated in our hospital from May 2014 to May 2017 were selected as study subjects and divided into two groups according to the different recoverability of patients treated with skin soft tissue dilatation and superficial iliac artery Perforator flap combined radionuclide radiotherapy. The curative effect of the two groups was evaluated. The histopathological score, operation time, intraoperative blood loss, defect healing time, postoperative complications and keloid recurrence were calculated before and after treatment. Statistical analysis was made on the flap of the study group. Results: The proportion of patients with excellent curative effect after treatment in the study group was significantly higher than that in the control group, the good ratio was similar to the control group, and the difference was significantly lower than that in the control group. The proportion of histopathological score 0 in the study group was significantly lower than that in the control group Group, a score of 1 point slightly lower than the control group, while the score was 2 points higher than the control group, 34 patients in the study group, only 1 case of local flap necrosis occurred, and 3 patients had skin Petal pale, the study group of patients with two-point flap was 1.05 ± 0.12 cm, the study group patients with blood loss was lower than the control group, the healing time was significantly less than the control group, the incidence of postoperative infection, skin necrosis and recurrence of keloid within 6 months after operation in study group were significantly lower than those in control group. Conclusion: T Circumflex iliac artery perforating flap combined with radionuclide radiotherapy has a good repair effect on perineal keloid and less postoperative complications.

       

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