■臨床医のために
ケロイドおよび肥厚性瘢痕の予防と治療法
小川 令, 百束 比古
日本医科大学形成外科学
Prevention and Treatment of Keloid and Hypertrophic Scar
Rei Ogawa and Hiko Hyakusoku
Department of Plastic and Reconstructive Surgery, Nippon Medical School

Keloids and hypertorphic scar often present difficulties in treatment, and they are a severe problem for every surgeon. In our department, keloids have been treated with multimodal therapy including excision, postoperative electron-beam irradiation, tranilast medication and pressure treatment using silicon gel sheets or bandages. Moreover, we have added a new protocol of electron-beam irradiation which the dose is changed by keloid sites. This trial proposes a new method. In this paper, we introduce some new twists to prevent recurrence of keloid being in use in our department, along with the future prospects of keloid treatment.
日医大医会誌 2005; 1(3), 121-128
Key words
keloid, hypertrophic scar, electron-beam irradiation, surgical therapy, conservative therapy
Correspondence to
Rei Ogawa, Department of Plastic and Reconstructive Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail:r.ogawa@nms.ac.jp
受付:2005年3月25日 受理:2005年4月27日 |