Al-Shaqsi Sultan, Al-Bulushi Taimoor
Department of Plastic & Reconstructive Surgery, Khoula Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2016 Feb;16(1):e3-8. doi: 10.18295/squmj.2016.16.01.002. Epub 2016 Feb 2.
Cutaneous scarring is common after trauma, surgery and infection and occurs when normal skin tissue is replaced by fibroblastic tissue during the healing process. The pathophysiology of scar formation is not yet fully understood, although the degree of tension across the wound edges and the speed of cell growth are believed to play central roles. Prevention of scars is essential and can be achieved by attention to surgical techniques and the use of measures to reduce cell growth. Grading and classifying scars is important to determine available treatment strategies. This article presents an overview of the current therapies available for the prevention and treatment of scars. It is intended to be a practical guide for surgeons and other health professionals involved with and interested in scar management.
皮肤瘢痕在创伤、手术和感染后很常见,是在愈合过程中正常皮肤组织被成纤维组织替代时发生的。尽管据信伤口边缘的张力程度和细胞生长速度起着核心作用,但瘢痕形成的病理生理学尚未完全明了。预防瘢痕至关重要,可通过关注手术技术以及采取措施减少细胞生长来实现。对瘢痕进行分级和分类对于确定可用的治疗策略很重要。本文概述了目前可用于预防和治疗瘢痕的疗法。它旨在为参与瘢痕管理并对此感兴趣的外科医生和其他医疗专业人员提供实用指南。