手术后结合90Sr-90Y敷贴治疗增生性瘢痕及瘢痕疙瘩的疗效观察

目的：探讨^90Sr-^90Y敷贴治疗对增生性瘢痕及瘢痕疙瘩的疗效．方法：对收治的112例瘢痕疙瘩和增生性瘢痕患者，采用^90Sr-^90Y敷贴治疗与手术切除后结合^90Sr-^90Y敷贴综合治疗，均采用多次小剂量法照射，每疗程30-50Gy，一般2～3个疗程．结果：采用单纯敷贴治疗75例患者。治愈48例（占64％），显效18例（占24％），综合治疗组37例患者，治愈33例（占89．2％），显效2例（占5．4％），两组治愈率比较（P〈0．05）。差异有显著性．表明综合治疗治愈率高于单纯敷贴治疗．结论：^90Sr-^90Y敷贴治疗是一种简便有效的治疗方法，尤其是手术后结合敷贴综合治疗疗效更加显著．

Observation on Curative Effect of Surgery with 90 Sr-90 Y Application Method on Hyperplastic Scar and Keloid

Objective: To discuss the curative effect of 90Sr-90Y application method treating hyperplastic scar and keloid. Methods: 112 cases of keloid with hperplastic scar received surgery and 90Sr-90Y application method treatment or only 90Sr-90Y application method. Through multiple iradiations with small dose, 30 - 50Gy of each treatment course, lasting 2 - 3 treatment courss the curative effects of two methods were observed. Results: Among 75 patients receiving 90Sr - 90 Y application method, 18 cases were effectual (24%) and 48 cases (64%) were cured . Among 37 patients receiving comprehensive treatment, 33 cases were cured (89.2%) ,and 2 cases were effectual(5.4%). The difference of cure rates between two groups was significant. Conclusion: 90Sr-90Y application method is a simple and effective therapeutic method, especially combined with surgery