核心切割技术的有效性 凯洛伊德:一个系统的审查
Xiaoye Ran1, Xiaoshuang Guo2, Yuanbo Liu1
1From the Scar and Wound Treatment Center.
Plastic and reconstructive surgery
|September 9, 2024
概括
状核切除技术在与辅助疗法相结合时显示出低复发率. 剩余的痕组织和并发症是影响手术后 keloid 复发的关键因素.
科学领域:
- 皮肤病学 皮肤病学
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
背景情况:
- 状核切除可以最大限度地减少伤口紧张,并改善美容效果.
- 关于诸如残留组织等因素导致 keloid 复发存在不确定性.
- 本综述评估了 keloid 核心切除的治疗结果.
研究的目的:
- 系统地评估核切除技术对 keloids 的治疗结果.
- 为了确定影响化核切除后复发率的因素.
主要方法:
- 使用PubMed,Embase,Web of Science和Cochrane图书馆进行了系统的文献审查.
- 搜索术语包括"keloid","核心切除",以及相关的外科手术技术.
- 纳入标准是事先确定的,并由多名调查人员审查.
主要成果:
- 分析了20项研究,其中包括926例使用核心切除的化体病例.
- 辅助疗法,主要是放射治疗和类固醇注射,是常见的.
- 复发率从0%到28.6%不等,其主要原因是残留的痕组织和并发症.
结论:
- 与辅助疗法相结合的核切除提供了较低的复发率.
- 需要进一步的随机对照试验来确认核切除技术对 keloids 的疗效.
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