Mutalik Sharad
Dermatotherapy and Cosmetology Center, Maharashtra Medical Foundation, Pune, India.
Indian J Dermatol Venereol Leprol. 2005 Jan-Feb;71(1):3-8. doi: 10.4103/0378-6323.13777.
Clinicians always find it difficult to treat hypertrophic scars and keloids. Various treatment modalities are available. Intralesional corticosteroids, topical applications, cryotherapy, surgery, laser therapy, and silicone sheeting are the widely used options. Radiation therapy can also help in cases of recalcitrant keloids. Most recently, pulsed-dye laser has been successfully used to treat keloids and hypertrophic scars. There are no set guidelines for the treatment of keloids. Treatment has to be individualized depending upon the distribution, size, thickness, and consistency of the lesions and association of inflammation. A combination approach to therapy seems to be the best option.
临床医生一直发现治疗增生性瘢痕和瘢痕疙瘩很困难。有多种治疗方式可供选择。病灶内注射皮质类固醇、局部应用、冷冻疗法、手术、激光疗法和硅胶片是广泛使用的选择。放射疗法对难治性瘢痕疙瘩也有帮助。最近，脉冲染料激光已成功用于治疗瘢痕疙瘩和增生性瘢痕。目前尚无治疗瘢痕疙瘩的既定指南。治疗必须根据病变的分布、大小、厚度、质地以及炎症的关联进行个体化。联合治疗方法似乎是最佳选择。
