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电动磨皮术与手动磨皮术比较:一项随机、双盲、对照有效性试验。

Electrobrasion vs. manual dermabrasion: a randomized, double-blind, comparative effectiveness trial.

机构信息

Schweiger Dermatology, 110 East 55th St. 14th Floor, New York, NY, 10022, U.S.A.

出版信息

Br J Dermatol. 2014 Jul;171(1):124-9. doi: 10.1111/bjd.12906. Epub 2014 Jun 22.

DOI:10.1111/bjd.12906
PMID:24641302
Abstract

BACKGROUND

Electrobrasion, like dermabrasion, is a method of surgical planing that is purported to improve postoperative scarring. Data regarding its benefits and harms relative to dermabrasion are absent.

OBJECTIVE

To compare the efficacy and potential harms of electrobrasion and dermabrasion.

METHODS

This was a pragmatic, randomized, double-blind, split-scar intervention in patients with suboptimal surgical outcomes. Half of the wound was randomized to treatment with dermabrasion and half to electrobrasion. At 3-month follow-up, both the patient and a blinded investigator evaluated the wound.

RESULTS

Electrobrasion and dermabrasion reduced the mean scores of the Manchester Scar Scale 1·6 and 1·3 points from baseline, respectively (P = 0·0003). The difference between treatments was not significant (P = 0·08). Global cosmetic improvement by physician and patient assessment indicated clinical improvement for both procedures but did not demonstrate statistical significance between treatments (P = 0·57, P = 0·32 for physician and patient, respectively).

CONCLUSIONS

Both dermabrasion and electrobrasion improved scars, but there was no significant difference between the outcomes of the two procedures on several measures. Procedure time and bleeding time were significantly lower for electrobrasion.

摘要

背景

电磨皮术和磨皮术一样,是一种用于改善术后瘢痕的外科刨削方法。但目前尚无关于其疗效和安全性的数据。

目的

比较电磨皮术和磨皮术的疗效和潜在危害。

方法

这是一项在手术效果不理想的患者中进行的实用、随机、双盲、半瘢痕干预研究。将一半的伤口随机分为磨皮术组和电磨皮术组。在 3 个月的随访中,患者和一位盲法评估者均对伤口进行了评估。

结果

与基线相比,电磨皮术和磨皮术分别使曼彻斯特瘢痕量表的平均评分降低了 1.6 分和 1.3 分(P = 0.0003)。两种治疗方法之间的差异无统计学意义(P = 0.08)。医生和患者评估的整体美容改善表明两种方法都有临床改善,但在治疗之间没有统计学意义(医生评估 P = 0.57,患者评估 P = 0.32)。

结论

磨皮术和电磨皮术均能改善瘢痕,但在多项指标上两种方法的疗效无显著差异。电磨皮术的手术时间和出血时间明显更短。

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