2016年1月18日 星期一

冷凍治療(CryoShape)

有效治療疤痕增生的方法:冷凍治療(CryoShape)

目前醫學界有多種治療瘢瘤的方法,惟未能全面徹底阻止組織增生,復發機會亦較高,容易長出更大的瘢痕。近年獲美國食品藥物管理局(FDA)確認其治療瘢瘤功效的冷凍治療(CryoShape),便能打破以往其他治療方法的限制。

透過溫度的改變破壞細胞,令壞死的細胞結痂脫落,減低復發機會。其實早在70至80年代,醫學界已採用冷凍治療,以液化氣體消除疣及痣等,直至90年代後期,醫學界更開始研究冷凍治療應用在瘢瘤上的可行性。

 

冷凍治療過程

手術約需時10至60分鐘,視乎個人情況及瘢瘤大小而定,並以局部麻醉方式進行。手術進行時,外科醫生先將長針插入瘢瘤內,小樽內的液態氮會灌入冷凍治療槍內,令長針急速變冷藉著超低溫度使細胞結晶,導致脫水,使細胞冷凍壞死,破壞瘢瘤內的深層組織。

外科醫生會在適當情況下,停止再輸入液態氮,讓瘢瘤解凍。患者在包紮傷口後,便可離開,不用留院,如常活動。一般情況下,傷口約在2至4星期內痊癒,壞死的細胞會結痂脫落。

 

冷凍治療的術後護理

術後部分患者的傷口會出現疼痛、紅斑、皮下水腫、皮下出血及色素減弱等,惟很快便會痊癒,患者只要每日清洗傷口及保持乾爽,防止傷口受感染便可。

 

冷凍治療的風險

對麻醉藥敏感, 傷口發炎等一般手術風險。




參考資料: http://keloid.com.hk/
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向外科醫生查詢,而不應單倚賴以上提供的資料 

2016年1月15日 星期五

How to prevent the growth of scars?

 






There aren’t any detection methods to prevent the growth of scars within medical community on patients regardless of gender and age. Patients who had scarring before or have a genetic background should prevent wounds arise, avoid piercing and clean acne scars with proper care. Whenever there is new wound, consider using silicone gel sheet and consult a doctor if necessary.









Reference information: http://keloid.com.hk/keloid-removal-english.html
The information aims to provide educational purpose only. Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above

2016年1月14日 星期四

Other Keloid Treatments




Steroid Injection: The injection of steroids can inhibit the growth of fibroblasts, causing the keloids to shrink. Results from patients vary and the success rate is only 50%, Long-term injections, usually once a month, are needed to be effective. Some patients need continuous injection, from few months to one year, in order to be effective. However, Long-term steroid injections will cause the skin to atrophy and sink in, and injection process also leads to pain in patients.
 

Surgical Removal: Keloid treatment by surgical removal method seems to a relatively simple method, its drawback is high recurrence rate of 80 to 100%. Since new wounds will be developed, it may stimulate keloid to grow back, and may even develop into a bigger keloid.
  

According to literature reviews, regular steroid injections after surgery can prevent the formation of keloid, but the recurrence rate can reach 50 to 80%, while postoperative radiotherapy can reduce the recurrence rate to 20 to 30%. Since radiotherapy is originally applied to treat cancer, if it is used to treat keloid that is grown in the neck and chest, thyroid cancer or breast cancer may be induced, thus radiotherapy is only limited to the area of hands, feet and ears.
  

Silicone Gel Sheet: It is regarded as preventive treatment, which is applied to new wounds after two weeks, and is associated with anti-scar ointment to reduce the growth of keloid and scars.
  

Interferons or anti-cancer drug: Research on their effects are still processing. Application of interferons or anti-cancer drug on eliminating keloid cannot sustain for a long time and may also cause side effects to the body.




Reference information: http://keloid.com.hk/hypertrophic-scar-treatment.html
The information aims to provide educational purpose only. Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above