Clinical efficacy of pulsed dye laser combined with triamcinolone on hypertrophic scar after thyroid surgery
10.3760/cma.j.issn.1671-0290.2020.03.017
- VernacularTitle:脉冲染料激光联合曲安奈德治疗甲状腺术后增生性瘢痕的疗效
- Author:
Yan DONG
1
;
Liying DAI
;
Xuguang LEI
Author Information
1. 山东威海市立医院皮肤医疗美容科 264200
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2020;26(3):231-234
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of pulsed dye laser combined with triamcinolone acetonide on hypertrophic scar after thyroid surgery.Methods:From August 2016 to October 2017, 76 patients (22 males and 54 females, aged between 18 and 48 years, with an average of 31 years) with hypertrophic scar after thyroid surgery in the Department of Dermatology and Cosmetology, Weihai City Hospital, Shandong Province, were divided into two groups. In the observation group, 38 patients were subjected to 595 nm pulsed dye laser combined with triamcinolone acetonide injection. In the control group, 38 patients were only locally injected with triamcinolone acetonide. Once every 4 weeks, the patients who did not recover or had a recurrence continued treatment, and the efficacy and adverse reactions were judged for 5 times in total. The patients were followed up for 1 year.Results:After treatment, 21 cases (55.26%) were cured in the observation group. 32 cases were effective, accounting for 84.21%. 4 patients in the control group were cured, accounting for 10.53%, and 16 patients were effective, accounting for 42.11%. The cure rate and effective rate in the observation group were higher than those in the control group ( χ2=5.371, 4.989, P<0.01). Conclusions:595 nm pulsed dye laser combined with local triamcinolone acetonide injection is effective in the treatment of postoperative hypertrophic scar.
