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皮肤微针联合富血小板血浆与单纯皮肤微针对萎缩性痤疮瘢痕的治疗:一项半脸对照研究。

Skin microneedling plus platelet-rich plasma versus skin microneedling alone in the treatment of atrophic post acne scars: a split face comparative study.

作者信息

Ibrahim Mohamed Kotb, Ibrahim Shady Mahmoud, Salem Amany Mohamed

机构信息

a Faculty of Medicine, Al-Azhar University , Cairo , Egypt.

出版信息

J Dermatolog Treat. 2018 May;29(3):281-286. doi: 10.1080/09546634.2017.1365111. Epub 2017 Sep 26.

Abstract

INTRODUCTION

Acne scarring is a permanent disfiguring sequel, which can take varied morphological forms. Many therapeutic measures have been performed to improve acne scarring such as microneedling. Our objective is to evaluate the efficacy and safety of microneedling alone versus microneedling combined with platelet rich plasma in the treatment of post acne.

METHODS

The study included 35 patients with mild to severe post acne atrophic scar. All the patients received four sequential treatments of skin microneedling alone on the right side of the face and skin microneedling followed by topical application of platelet rich plasma (PRP) on the left side of the face with an interval of 3 weeks. Two blinded dermatologists evaluated the clinical response according to qualitative global acne scarring system grading of Goodman & Baron. Patients are queried about their satisfaction with the treatment outcomes.

RESULTS

The study included 35 patients with a mean age of 24.7 ± 6.8 years. There was a significant improvement in the degree of scar severity before and after treatment on both the sides. Regarding patient's satisfaction grades, there was a significant improvement after both treatment modalities with insignificant differences between both treatment modalities.

CONCLUSIONS

Both microneedling and microneedling in combined with PRP showed satisfactory results.

摘要

引言

痤疮瘢痕是一种永久性的毁容性后遗症,可呈现多种形态。已经采取了许多治疗措施来改善痤疮瘢痕,如微针治疗。我们的目的是评估单独使用微针治疗与微针联合富血小板血浆治疗痤疮后瘢痕的疗效和安全性。

方法

该研究纳入了35例轻至重度痤疮后萎缩性瘢痕患者。所有患者在面部右侧接受连续四次单独的皮肤微针治疗,在面部左侧接受皮肤微针治疗后局部应用富血小板血浆(PRP),间隔3周。两名盲法皮肤科医生根据Goodman & Baron定性整体痤疮瘢痕系统分级评估临床反应。询问患者对治疗结果的满意度。

结果

该研究纳入了35例患者,平均年龄为24.7±6.8岁。两侧治疗前后瘢痕严重程度均有显著改善。关于患者的满意度等级,两种治疗方式后均有显著改善,两种治疗方式之间无显著差异。

结论

微针治疗和微针联合PRP均显示出满意的效果。

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