Zuccaro Jennifer, Ziolkowski Natalia, Fish Joel
Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Institute of Medical Science, University of Toronto, 1 King's College Circle, Toronto, Ontario M5S 1A8, Canada.
Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Institute of Medical Science, University of Toronto, 1 King's College Circle, Toronto, Ontario M5S 1A8, Canada.
Clin Plast Surg. 2017 Oct;44(4):767-779. doi: 10.1016/j.cps.2017.05.008. Epub 2017 Jul 10.
The objective of this systematic review was to assess the effectiveness of laser therapy for the treatment of hypertrophic burn scars. Improvements in scar symptoms following laser treatment were reported in 11 of the 12 included studies. However, issues related to overall quality and risk of bias were present in all studies. As a result, there is insufficient scientific evidence to determine the effectiveness of laser therapy from this systematic review. Future studies that use more rigorous study designs such as randomized controlled trials are needed to support the use of laser therapy for hypertrophic burn scars.
本系统评价的目的是评估激光治疗肥厚性烧伤瘢痕的有效性。在纳入的12项研究中,有11项报告了激光治疗后瘢痕症状有所改善。然而,所有研究均存在与整体质量和偏倚风险相关的问题。因此,从本系统评价中没有足够的科学证据来确定激光治疗的有效性。未来需要采用更严格的研究设计,如随机对照试验,以支持将激光治疗用于肥厚性烧伤瘢痕。