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W 成形术联合肉毒杆菌毒素 A 注射在面部凹陷性瘢痕治疗中的应用

The application of W-plasty combined Botox-A injection in treating sunk scar on the face.

作者信息

Chen Haihua, Pan Wei, Zhang Jufang, Cheng Hanxiao, Tan Qian

机构信息

Department of Burns and Plastic Surgery, The Drum Tower Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu Province Department of Plastic Surgery, Hangzhou First People's Hospital, Nanjing Medical University, Hangzhou, Zhejiang Province Department of Orthopedics, The Second People's Hospital of Huai'an, Huai'an, Jiangsu Province, China.

出版信息

Medicine (Baltimore). 2018 Jul;97(30):e11427. doi: 10.1097/MD.0000000000011427.

Abstract

This study was aimed to explore the effect of W-plasty combined Botox-A injection in improving appearance of scar.According to the inclusive and exclusive criteria, patients received W-plasty combined Botox-A injection (study group) or traditional (control group) scar repairment were enrolled in this study. After surgery, a follow-up ranged from 1 to 2 years was conducted. The effectiveness of surgery was assessed by visual analogue scale (VAS).A total of 38 patients were enrolled in this study, including 21 cases in the study group and 17 cases in the control group. There were no significant difference were identified in age (t = 0.339, P = .736), gender ratio (χ = 0.003, P = .955) and scar forming reason (χ = 0.391, P = .822) between 2 groups. After treatment, the VAS score in the study group was significantly higher than that in the control group (P < .001).W-plasty combined Botox-A injection can significantly improve the appearance of sunk scar on the face.

摘要

本研究旨在探讨W成形术联合A型肉毒毒素注射改善瘢痕外观的效果。根据纳入和排除标准,纳入接受W成形术联合A型肉毒毒素注射(研究组)或传统(对照组)瘢痕修复的患者。术后进行了1至2年的随访。采用视觉模拟评分法(VAS)评估手术效果。本研究共纳入38例患者,其中研究组21例,对照组17例。两组在年龄(t = 0.339,P = 0.736)、性别比例(χ = 0.003,P = 0.955)和瘢痕形成原因(χ = 0.391,P = 0.822)方面无显著差异。治疗后,研究组的VAS评分显著高于对照组(P < 0.001)。W成形术联合A型肉毒毒素注射可显著改善面部凹陷性瘢痕的外观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3d1/6078721/162950fbceed/medi-97-e11427-g001.jpg

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