摘要：BACKGROUND? Postsurgical scars are of significant concern to patients and surgeons. Many studies have focused on different treatment options for established surgical scars. The prevention and minimization of such aberrant healing responses is more likely to yield better outcomes and require less time and expense. OBJECTIVE AND METHOD? A review of the literature on various forms of prophylactic treatments intended to prevent or minimize the development of prominent postsurgical scars was performed using the Pubmed database over a period from 1987 to 2010. Search terms included “scar prevention,” “scar minimization,” “post-surgical scar management,” and “surgical scars.” RESULTS? Various over-the-counter topical products commonly used by patients have failed to demonstrate any significant benefits in improving final scar outcomes. Numerous interventions performed around the time of surgery, including botulinum toxin, lasers, and intradermal injectable products, have shown effectiveness in minimizing eventual scar appearance. CONCLUSIONS? Patient education on proper wound care is a simple method of improving the cosmetic appearance of surgical scars. At the other end of the spectrum, our knowledge of the complex mechanisms of wound healing has allowed for the development of new, effective treatment modalities, including lasers, botulinum toxin, cytokines, and stem cells.
摘要：目的 分析将CO_2点阵激光和湿润烧伤膏用于创伤性瘢痕治疗中的效果。方法 从2021年3月-2022年3月的创伤性瘢痕患者中随机抽取72例，双盲法均分为A组（CO_2点阵激光）和B组（CO_2点阵激光+湿润烧伤膏），对比两组疗效。结果 B组治疗有效率、不良反应发生率为97.22%、5.56%较A组的80.56%、25.00%更优（X25.062、5.257,p0.024、0.021）；B组治疗后治疗效果指标[瘢痕评分（4.41±2.03）分、疼痛评分（2.36±0.59）分、ECCA权重评分（21.15±5.63）分]优于A组的[瘢痕评分（6.59±1.83）分、疼痛评分（3.68±0.72）分、ECCA权重评分（26.84±5.95）分]（t4.785、8.508、4.167，p均0.000）；B组瘢痕指标[疼痛持续时间（2.31±0.67）h、脱痂时间（5.41±1.03）h、疮面愈合时间（8.23±2.14）d]优于A组的[疼痛持续时间（3.34±0.86）h、脱痂时间（6.49±1.15）h、疮面愈合时间（10.56±2.53）d]（t5.668、4.197、4.218，p均0.000）；B组生活质量评分[躯体功能（88.23±5.31）分、社会功能（88.29±5.26）分、生理功能（88.41±5.67）分、心理功能（88.37±5.34）分]高于A组的[躯体功能（81.12±4.52）分、社会功能（81.68±4.71）分、生理功能（81.39±4.58）分、心理功能（81.32±4.68）分]（t6.117、5.617、5.778、5.957，p均0.000）。结论 将CO_2点阵激光和湿润烧伤膏用于创伤性瘢痕患者治疗中，能缩短愈合时间，提高愈合效果和生活品质。
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摘要：ＣＯ_２激光加中药熏剂治疗尖锐湿疣（２７６７００）山东省临沭县皮防站英昌明，禚洪岩，谢海源（２７６７００）山东省临沭县郑山医院李凤霞我站１９１１年６月至１９９５年３月所见的尖锐湿疣５７例，先进行中药熏洗后再用ＣＯ２激光治疗获得满意疗效，现报告如下。１?..