应用电子线对瘢痕疙瘩术后治疗效果临床—去除剖腹产与隆乳手术造成之瘢痕疙瘩

【Abstract】wWw.shuoshilunwen.com Background:With the pursuit of beauty being an integral part of human nature since time immemorial, Taiwan’s aesthetical medicine development that has undergone leaps and bounds in the past two to three decades, coupled with a rising GDP and a higher desire for physical appearance, has ailed opportunities for would-be patients to seek aesthetical surgical procedures. Consequently, some post-surgical side effects he come to mar the relationship between the physician and the patient, with scars and blemishes being one of the common, yet critical problems. With scars and blemishes long been a problem between patients and doctors, in less severe cases it affects a patient’s topical aesthetics, and in severe cases it could affect a patient’s mobility of limbs. And in spite that the present treatment methods he progressed greatly than before, yet so far there has not been any method that can completely eradicate scars or blemishes from occurring, and once scars and blemishes occur, presently a patient has the options of either undergo hypodermis injection, or undergo subsequent surgery to remove scars and blemishes, yet there is no method capable of ensuring that scars and blemishes will not occur. In light of which, how best to prevent the recurrence after scar, blemish removal has emerged to become a critical issue among aesthetics surgical physicians.Objective: Following De Beurman’s unveiling scar and blemish treatment using radiation in 1906, soon after Coan had adopted X-ray on scar, blemish surgery to prevent the recurrence of scars and blemishes in 1961, with both regarded as valuable archival revelations offering positive treatment yield. Thereafter, in response to the patient’s demands, physicians in general he kept up research and experimentations, with many archival reports publishing on post-scar/blemish procedure radiation treatment, which he all provided positive prove that electron beams can effective prevent the recurrence of scars and blemishes. Yet there has not been a more systematic treatment recommendation on the best timing to receiving the radiation treatment, or the proper dosage in each treatment session. The objective of the experiment has been to observe the select patient samples’clinical results, based on administering the identical total amount of radiation dosage but divided into different dosages and treatment sessions, in an attempt to locate an optical timing and dosage of treatment.Methods: During the period spanning from Sept. 2006 to Sept. 2007, with a total of sixty-six scar and blemish patient cases in Taiwan chosen, and all patients undergoing complete scar, blemish removal procedure, and reduced tension, trauma-free stitching, the patient samples are divided into three experiment groups within 24 hours following the procedure. With the total dosage set to 18GY, Group A is given a single dosage of 1G& for a 18 consecutive sessions of once per day, totaling 18 days; Group B is given a single dosage of 3GY for a consecutive 6 sessions of once per day, totaling six days; Group C is given a single dosage of 6GY for a consecutive three session of once per day, totaling 3 days.Results: Under the definition that both apparent yield and improvement are deemed effective, Group A is found with an effective ratio of 36.36%, Group B with an effective ratio of 81.82%, and Group C with an effective ratio of 72.73%. To compare the three groups in pairs, groups A/B ad A/C are found with significantly apparent deviations, while groups B/C are found without any statistical significance. Under a strict definition that only apparent yield is deemed effective, Group A has an effective ratio of 18.18%, Group B has an effective ratio of 54.55%, Group C has an effective ratio of 45.45%. Group B is ominously the best group among the three.Conclusion:With early post-surgical procedure treatment being an effective method to treat scars and blemishes, under a requisite total dosage of 18GY, the treatment of dividing the dosage into 3GY and administered daily is found with the most optimal results.