UNASSIGNED:研究激光和安全伤口闭合系统(张力降低器)在张力切口术后瘢痕形成治疗中的临床效果。
UNASSIGNED:进行了回顾性观察性研究。选择了2017年6月至2021年12月在我们部门接受手术治疗的26例患者,将激光和减张剂治疗的患者作为联合治疗组,激光治疗者作为常规治疗组。常规组15例采用脉冲染料激光和CO2点阵激光治疗,间隔1~2个月。联合治疗组的11人接受激光治疗,并接受张力降低治疗3-6个月。疤痕的宽度,疤痕厚度,疤痕硬度,瘙痒评分,比较两组患者术后6个月改良温哥华瘢痕评分及两种治疗方式的并发症发生率。
未经评估:疤痕厚度,疤痕硬度和改良的温哥华疤痕刻度为1.25(0.14,1.90)mm,31.80(21.00,37.20)HA,联合治疗组患者的(6.00±2.17)mm小于常规治疗组患者的5.50(4.00,11.50)mm,42.60(32.50,47.00)HA,(8.25±1.91),(Z=2.883,2.718,t=2.904,p<0.05)。联合治疗组瘢痕宽度和瘙痒评分,分别为8.00(5.00,18.00)mm和0(0,1)mm,而常规治疗组的瘢痕评分和瘙痒评分,分别为5.50(4.00,11.50)mm,两组间差异无统计学意义。联合治疗组并发症发生率为55%,对照组无不良反应发生。
UNASSIGNED:序贯激光联合张力降低治疗可有效抑制术后张力切口瘢痕增生。
UNASSIGNED: To investigate the clinical effectiveness of laser and secure wound-closure system (Tension reducer) in the treatment of postoperative scarring after tension incision.
UNASSIGNED: A retrospectively observational study was conducted. Twenty-six patients who underwent surgical treatment in our department between June 2017 and December 2021 were selected, and those treated with laser and tension reducer were treated as a combined treatment group, and those treated with laser were treated as a conventional treatment group. Fifteen patients in the conventional group were treated with the pulsed dye laser and CO2 fractional laser at 1-2 month intervals. Eleven people in the combined treatment group were treated with the laser in addition to a tension reducer for 3-6 months. The scar width, scar thickness, scar hardness, pruritus score, modified Vancouver scar scale and complication rates between the two treatment modalities were compared between the two groups at 6 months postoperatively.
UNASSIGNED: The scar thickness, scar hardness and modified Vancouver scar scale of 1.25 (0.14, 1.90) mm, 31.80 (21.00, 37.20) HA, (6.00 ± 2.17) in patients in the combined treatment group were less than those of patients in the conventional treatment group of 5.50 (4.00, 11.50) mm, 42.60 (32.50, 47.00) HA, (8.25±1.91), (Z=2.883, 2.718, t=2.904, p<0.05). The scar width and pruritus score in the combined treatment group, were 8.00 (5.00, 18.00) mm and 0 (0, 1) respectively, while the scar score and pruritus score in the conventional treatment group, were 5.50 (4.00, 11.50) mm respectively, with no statistically significant difference between the two groups. The complication rate was 55% in the combined treatment group and no adverse reactions occurred in the control group.
UNASSIGNED: Sequential laser combined with tension reducer treatment can effectively inhibit the proliferation of postoperative tension incision scar.