The Analysis Of Efficacy In203Scar Cases And Recent Progress Of Keloid

Objective:Comparative and analysis to different types of common scar (flat scar、contracture scar、hypertrophic scars、keloids) in clinical after treatment effect, explore the keloid disease characteristics,treatment, and possible reasons for relapse, and provide certain theoretical basis for the future clinical treatment of keloids.Method:Retrospective analysis of the medical records of214patients hospitalized in the past seven years of Qilu Hospital of Shandong University.43cases of the flat scar patients, of which34patients were treated with surgical resection combined with soften scar drugs smear in postoperative,19patients were treated with surgical resection combined with flap repair and soften scar drugs smear in postoperative;71cases of the contracture scar patients,9cases were only treated with surgical resection and soften scar drugs smear in postoperative,62cases were treated with surgical resection combined with skin grafting (or) flap repair、fixed in order to correct or smeared soften scar drugs in postoperative;53patients for hypertrophic scars,12cases were only treated with surgical excision and pressure therapy or smear soften scar drug in postoperative,41 cases were treated with surgical excision and skin grafting、skin flap、pressure therapy or soften scar drugs;53patients with keloid treatment is surgical resection, radiation therapy at the same time smear soften scar medication or pressure treatment, of which7cases without radiotherapy after surgery due to age, disease site of restriction. Monthly outpatient follow-up once in the six months of treatment, Every3months using the phone or out-patient follow-up time in six months after the treatment,the follow-up time range is1year.By clinical observation and regular follow-up record results, Comparing the therapeutic effects of different types of scar, comparing different types of keloid clinical effect.Result:1) General Information:In230cases, the actual follow-up of patients are203cases,27cases of scar patients were lost to follow.100patients are male patients,103patients are female, the average age is35.87±17.7years (range1to64years). Keloid practical follow-up the number of cases is43cases,10patients were lost,23cases are male patients,20cases are female patients, the average age is31.5years(range11to54years),21patients caused by acne,14patients caused by Folliculitis,8patients caused by trauma, surgery or burns.2) Therapeutic effects:All flat scar、contracture sca、hypertrophic scar patients are disconnected on time, wound infection, etc. After1-year follow-up, about88.8%of patients are cured, about11.2%of the patients the disease was significantly improved compared before, basically able to lift the lesion site caused by the dysfunction and meet patient appearance requirements;43patients with keloid about67.4%of the patients were cured, the recurrence rate of is about16.3%, the lesion ischest (2cases) and earlobe (leases) facial (4cases) in the seven cases of recurrence,theonset age range is16-31years old.3) Compare to the clinical results of the different types of scars, keloid cure rate is significantly lower than other types of scar cure rate.The recurrence rate is not the same in different parts of the keloid.4) Through the study of43patients with keloid, About7-14days after treatment,13cases apper skin erythema, gradually the skin erythema began to subside about seven days after the end of radiotherapy,such as wound dehiscence、infection and other complications do not occurrence, including3patients occur pigment change, but other diseases related to radiation damage did not occur the radiation damage in the follow-up of1year.Conclusion:1) Surgical resection and non-surgical treatment of the composite application scar treatment is clinically significant effect of treatment methods.(2) The keloid recurrence rate is higher than the other type of scar recurrence rate, the recurrence rate is not the same in different parts of the keloid, which may be related to their unique clinical features.(3) keloid recurrence may be related to the patient’s age of onset, anatomic site, etiology, factors such as the length of the follow-up period.