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甲状腺切除术后瘢痕的激光治疗

Laser treatment of post-thyroidectomy scar.

作者信息

Borgia F, Vaccaro M, Gasco L, Lotti J, Lotti T, Guarneri C

机构信息

Department of Clinical and Experimental Medicine, Section of Dermatology –University of Messina, Italy.

Department of Nuclear, Subnuclear and Radiation Physics, University of Rome “G. Marconi”, Rome , Italy.

出版信息

J Biol Regul Homeost Agents. 2017;31(2 Suppl. 2):121-129.

PMID:28702972
Abstract

A good aesthetic result in thyroid surgery is one of the main goals, as this procedure usually involves young women affected in clearly visible anatomical areas. To minimize the detrimental effects of scarring outcome, several therapeutic options have been employed. Lasers may be an alternative choice for prevention and treatment of post-surgical thyroidectomy scar. This paper reviews literature and the current knowledge on this topic. A comprehensive search in the Cochrane Library, MEDLINE and PUBMED databases was performed to identify relevant literature investigating the role of laser therapy in both prevention and treatment of unappealing scarring after thyroid surgery. Laser treatment of post-thyroidectomy scar is emerging with promising clinical outcomes. The greatest efficacy has been seen with vascular-selective and ablative sources. Laser therapy should be taken into account as it represents a valid and safe treatment option.

摘要

在甲状腺手术中获得良好的美学效果是主要目标之一,因为该手术通常涉及受影响部位在解剖学上清晰可见的年轻女性。为了将瘢痕形成的有害影响降至最低,人们采用了多种治疗方法。激光可能是预防和治疗甲状腺切除术后瘢痕的一种替代选择。本文回顾了关于该主题的文献和当前知识。我们在考克兰图书馆、医学文献数据库和医学期刊数据库中进行了全面检索,以识别相关文献,研究激光疗法在预防和治疗甲状腺手术后不美观瘢痕方面的作用。甲状腺切除术后瘢痕的激光治疗正在兴起,临床效果令人期待。血管选择性和消融性激光源的疗效最为显著。激光疗法应被视为一种有效且安全的治疗选择。

相似文献

1
Laser treatment of post-thyroidectomy scar.甲状腺切除术后瘢痕的激光治疗
J Biol Regul Homeost Agents. 2017;31(2 Suppl. 2):121-129.
2
Comparison of non-ablative and ablative fractional laser treatments in a postoperative scar study.非剥脱性与剥脱性点阵激光治疗在术后瘢痕研究中的比较。
Lasers Surg Med. 2014 Dec;46(10):741-9. doi: 10.1002/lsm.22297. Epub 2014 Nov 3.
3
Comparison of the effectiveness of nonablative fractional laser versus ablative fractional laser in thyroidectomy scar prevention: A pilot study.非剥脱性分次激光与剥脱性分次激光预防甲状腺切除术后瘢痕效果的比较:一项初步研究。
J Cosmet Laser Ther. 2012 Apr;14(2):89-93. doi: 10.3109/14764172.2012.672746.
4
Robot-assisted Sistrunk's operation, total thyroidectomy, and neck dissection via a transaxillary and retroauricular (TARA) approach in papillary carcinoma arising in thyroglossal duct cyst and thyroid gland.经腋后(TARA)入路机器人辅助施行 Sistrunk 手术、甲状腺全切除术和颈淋巴结清扫术治疗甲状舌管囊肿和甲状腺起源的乳头状癌
Ann Surg Oncol. 2012 Dec;19(13):4259-61. doi: 10.1245/s10434-012-2674-y. Epub 2012 Oct 16.
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Prevention of thyroidectomy scar using a new 1,550-nm fractional erbium-glass laser.使用新型1550纳米分数倍铒玻璃激光预防甲状腺切除术后瘢痕
Dermatol Surg. 2009 Aug;35(8):1199-205. doi: 10.1111/j.1524-4725.2008.34428.x. Epub 2009 Jan 21.
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Management of acne scarring, part I: a comparative review of laser surgical approaches.痤疮瘢痕的管理,第 I 部分:激光手术方法的比较综述。
Am J Clin Dermatol. 2012 Oct 1;13(5):319-30. doi: 10.2165/11598910-000000000-00000.
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Robotic total thyroidectomy with modified radical neck dissection via unilateral retroauricular approach.经单侧耳后入路机器人辅助全甲状腺切除术并改良根治性颈清扫术
Ann Surg Oncol. 2014 Nov;21(12):3872-5. doi: 10.1245/s10434-014-3896-y. Epub 2014 Sep 17.
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Updated international clinical recommendations on scar management: part 1--evaluating the evidence.更新的国际瘢痕管理临床推荐:第 1 部分——评估证据。
Dermatol Surg. 2014 Aug;40(8):817-24. doi: 10.1111/dsu.0000000000000049.
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Appropriate timing for thyroidectomy scar treatment using a 1,550-nm fractional erbium-glass laser.采用 1550nm 飞秒铒玻璃激光治疗甲状腺切除术瘢痕的适宜时机。
Dermatol Surg. 2013 Dec;39(12):1827-34. doi: 10.1111/dsu.12355. Epub 2013 Nov 7.
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Ablative fractional laser resurfacing for the treatment of a third-degree burn.剥脱性点阵激光换肤术治疗三度烧伤
J Drugs Dermatol. 2009 Mar;8(3):294-7.

引用本文的文献

1
Combination Treatment of Intra/Perilesional Botulinum Toxin-A Injection and Ablative Fractional Laser for Better Clinical Outcomes of Hypertrophic Fibrotic Thyroidectomy Scars Following Fractional Ablative Laser Resurfacing.病灶内/病灶周围注射A型肉毒杆菌毒素与剥脱性分数激光联合治疗,以改善剥脱性分数激光表面重塑后肥厚性纤维化甲状腺切除术后瘢痕的临床效果。
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