摘要
患者女,22岁,前胸瘢痕6年余,半年前曾行手术切除,术后复发。患处瘢痕瘙痒伴疼痛,瘢痕色鲜红,质韧,大小约69.0 mm×18.0 mm×4.0 mm,温哥华瘢痕评分10分。西医诊断:瘢痕疙瘩。中医诊断:蟹足肿,痰瘀互结证。采用小针刀联合火针中医特色外治,治以行气化痰,活血祛瘀,经连续10次治疗后效果明显,瘢痕大小60.0 mm×15.0 mm×1.0 mm,温哥华瘢痕评分4分。随访6个月,患者瘢痕未再复发,无不良反应。
A 22-year-old female had keloid on her chest for more than 6 years,which had been surgically removed six months ago and recurred after surgery.The scar was itchy and painful,bright red,tough,about 69.0 mm×18.0 mm×4.0 mm in size.Vancouver scar scored 10.The scar was diagnosed as keloid by Western medicine,and the traditional Chinese medicine diagnosis is phlegm stasis interjunction syndrome.Small needle-knife combined with fire needle were used to promote qi and eliminate phlegm,promote blood circulation,and remove blood stasis.After 10 consecutive treatments,the scar size decreased to 60.0 mm×15.0 mm×1.0 mm.Vancouver scar score decreased to 4 points.After 6 months of follow-up,the patient had no recurrence of scar and no adverse reactions.
作者
李林昌
张广中
仪凡
陈维文
LI Linchang;ZHANG Guangzhong;YI Fan;CHEN Weiwen(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji′nan 250011,China)
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2024年第8期892-895,共4页
The Chinese Journal of Dermatovenereology
关键词
瘢痕疙瘩
中医外治
小针刀
火针
Keloid
Traditional Chinese medicine(TCM)external treatment
Small needle-knife
Fire needle
