短波紫外线联合低能量激光照射促进结肠癌术后伤口窦道快速愈合1例

Ultraviolet C combined with low-level laser therapy in promoting rapid healing of infected wounds and sinus after colon-cancer surgery: A case report

  • 摘要: 目的 报告1例短波紫外线联合低能量激光照射对结肠癌术后伤口和窦道的疗效。 方法 患者男性,48岁,确诊为乙状结肠溃疡型中分化腺癌,行腹腔镜乙状结肠癌根治术3周后,手术切口末端出现深度约3 cm的窦道,多次清创处理仍难以愈合,转入我科光磁疗治疗室治疗。碘伏酒精对伤口窦道进行清创后,使用波段660 nm、波形为直流波、总功率360 Hw的低能量激光照射伤口和窦道;再用短波紫外线分区照射窦道内部和体表伤口以及红肿部位,1次/d,共7 d。 结果 连续7 d治疗,窦道快速愈合,溃疡部位全部结痂愈合,红肿面积明显减少。 结论 短波紫外线配合低能量体激光照射能够快速有效地促进结肠癌术后伤口和窦道的愈合。

     

    Abstract: Objective Toobserve the effect of ultraviolet C combinedwith low-level laser therapy in promoting rapidhealing of infectedwounds and sinus after colon-cancer surgery. Methods The patient was a 48-year-oldmale with sigmoidcolon ulcer type differentiatedadenocarcinoma. A sinus about 3 cmwas foundat the endpart of operation incision after 3 weeks of laparoscopic radical resection of sigmoidcolon cancer. Debridement treatment was repeatedmany times, but the sinus was still difficult toheal. Then the patient was transferredtoour department. Ultraviolet C combinedwith laser radiation therapy was chosen. Firstly, iodophor alcohol was usedtoclean the woundand sinus. Secondly, low-level laser radiatedthe woundand sinus with the band of 660nm, the waveformof DC wave and the total power of 360 HW. Thirdly, the ultraviolet C irradiatedthe inside part of the sinus, the woundsurface and inflamedparts for once a day, a total of seven days. Results After seven days of light treatment, the sinus healedrapidly, the ulcer site were all curedwith scabs, and the redswelling area reducedsignificantly. Conclusion Ultraviolet C combinedwith low-level laser therapy can effectively promote healing of wounds and sinus after colon-cancer surgery.

     

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