中西医结合皮肤再生法治疗增生性瘢痕的临床观察

发布时间：2018-03-15 21:35

本文选题：瘢痕移除　切入点：瘢痕皮回植　出处：《中华中医药杂志》2010年08期 　论文类型：期刊论文

【摘要】：目的:观察中西医结合瘢痕移除原位皮肤再生法治疗增生性瘢痕的效果。方法:选择烧伤或创伤后出现多处增生性瘢痕的患者32例。每例选择2处瘢痕相似的部位,进行自身对照。实验组采用瘢痕移除、瘢痕皮回植后应用美宝湿润烧伤膏药纱覆盖的中西医结合原位皮肤再生法治疗;对照组采用瘢痕移除、瘢痕皮回植后应用凡士林覆盖的传统方法治疗。观察比较疗效,应用温哥华瘢痕评估量表评估瘢痕增生情况。结果:两组回植的瘢痕皮均成活。实验组再生皮肤良好,愈合速度和质量优于对照组(P0.05);瘢痕移除后9个月,实验组温哥华瘢痕评估量表评估均优于对照组(P0.05),瘢痕所致的疼痛、瘙痒等症状消失,皮片平整且颜色较回植前明显改善,与周围皮肤接近。结论:对自体皮源不足、瘢痕面积大的增生性瘢痕患者或不愿增加新的供皮区创面患者,应用瘢痕移除瘢痕皮回植原位皮肤再生的中西医结合方法治疗是一种较理想的方法。
[Abstract]:Objective: to observe the effect of skin regeneration method combined with traditional Chinese medicine and western medicine in the treatment of hypertrophic scar. Methods: 32 patients with multiple hypertrophic scars after burn or trauma were selected. The experimental group was treated with scar removal, the scar skin was replanted with MEBO MEBO burn plaster gauze, and the control group was treated with scar removal. The scar skin was replanted with vaseline. The effect was observed and compared, and the scar proliferation was evaluated by the Vancouver scar Assessment scale. Results: the scar skin of the two groups survived, and the regenerated skin was good in the experimental group. The healing speed and quality of the experimental group were better than that of the control group (P 0.05), and 9 months after the scar removal, the evaluation of the Vancouver scar evaluation scale in the experimental group was better than that in the control group (P 0.05). The pain and itching caused by the scar disappeared, and the skin grafts were flat and the color was significantly improved compared with that before replantation. Conclusion: for hypertrophic scar patients with insufficient autologous skin source and large scar area, or for patients who are unwilling to add new skin donor wounds, the skin is close to the surrounding skin. It is an ideal method to apply the method of skin regeneration with scar removal and in situ skin regeneration.
【作者单位】：江苏省南通大学附属南通第三医院;南京中医药大学南通中西医结合临床学院整形美容烧伤中心;中国烧伤创疡科技中心临床部;
【分类号】：R644

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