Karrer S
Klinik und Poliklinik für Dermatologie, Universität Regensburg, Franz-Josef-Strauss-Allee 11, 93042 Regensburg.
Hautarzt. 2007 Nov;58(11):979-89; quiz 990. doi: 10.1007/s00105-007-1406-x.
Keloids are benign fibrous growths that appear after surgery, trauma or "spontaneously" as a consequence of microtrauma in predisposed patients. Keloids are distinguished from hypertrophic scars in that keloids extend beyond the margins of the original wound and do not tend to regress spontaneously. Keloids are often associated with pruritus and pain and can lead to functional and cosmetic deformities. Keloids are a therapeutic challenge for the dermatologist; although multiple treatment options are available, a reliably effective approach with few side effects remains elusive. High quality research in evaluating keloid therapy is also lacking. This article summarizes the methods used for the treatment of keloids showing their advantages and disadvantages.
瘢痕疙瘩是一种良性纤维性增生,出现在手术后、创伤后,或在易感患者中因微创伤“自发”出现。瘢痕疙瘩与增生性瘢痕的区别在于,瘢痕疙瘩超出原始伤口边缘,且不会自行消退。瘢痕疙瘩常伴有瘙痒和疼痛,可导致功能和外观畸形。瘢痕疙瘩对皮肤科医生来说是一个治疗难题;尽管有多种治疗选择,但一种可靠有效的方法且副作用少的方法仍然难以捉摸。评估瘢痕疙瘩治疗的高质量研究也很缺乏。本文总结了用于治疗瘢痕疙瘩的方法,展示了它们的优缺点。