St. Louis, Mo.; and Manchester, United Kingdom From the BodyAesthetic Research Center and Renovo Ltd.
Plast Reconstr Surg. 2009 Jul;124(1):256-265. doi: 10.1097/PRS.0b013e3181a80747.
Few data are available regarding the psychological impact of scars arising from routine elective/aesthetic surgical procedures. To gain insight into both patients' and clinicians' concerns, the authors have undertaken structured semiquantitative surveys of (1) patients who had recently undergone a routine surgical procedure and (2) a cohort of plastic and aesthetic dermatological surgeons.
All selected patients had undergone a surgical procedure within 6 to 24 months before survey and had a scar(s) that caused concern. Participants completed a previously validated Self Completion Form that aimed to investigate their concerns. Clinicians were surveyed via telephone interviews using a similar format of questionnaire but with questions tailored to clinicians.
Ninety-seven patients and 24 clinicians were interviewed. Patients were dissatisfied with scars resulting from surgery, irrespective of gender, age, ethnicity, or geographical location, and 91 percent would value even small improvements in scarring. Patients had scar(s) that they wished were less noticeable over a wide range of body sites (both "visible" and "nonvisible"). Male and female respondents had similar rates of dissatisfaction about their own scars. The survey revealed issues in the communication between patients and clinicians regarding scars; 71 percent of patients felt that they were more concerned than their surgeon about the scar resulting from a recent surgical procedure.
This preliminary study indicates that patients are highly concerned about scarring following routine surgery, with most patients valuing any improvement in scarring. These data also show that there are disparities in patient-clinician communication regarding expectations following surgery.
关于常规择期/美容手术引起的疤痕对心理的影响，相关数据较少。为了深入了解患者和临床医生的关注点，作者对（1）最近接受常规手术的患者和（2）一组整形和美容皮肤科医生进行了结构化半定量调查。
所有入选的患者均在调查前 6 至 24 个月内接受过手术，且存在令人担忧的疤痕。参与者完成了之前经过验证的自我评估表，旨在调查他们的关注点。通过类似的问卷格式，对临床医生进行电话访谈调查，但问题是根据临床医生量身定制的。
共采访了 97 名患者和 24 名临床医生。无论性别、年龄、种族或地理位置如何，患者对手术引起的疤痕均不满意，91%的患者希望即使是微小的疤痕改善。患者希望改善身体各部位（“可见”和“不可见”）的疤痕，使其不那么明显。男性和女性受访者对自己的疤痕不满意的比例相似。该调查揭示了患者和临床医生之间在疤痕沟通方面存在问题；71%的患者认为他们对近期手术疤痕的担忧超过了他们的外科医生。
这项初步研究表明，患者对常规手术后的疤痕高度关注，大多数患者重视任何疤痕的改善。这些数据还表明，患者和临床医生在术后期望方面存在沟通差距。
