Lokhande Archana J, Mysore Venkataram
Department Of Dermatology, ESIC PGIMSR, Model Hospital, Basaidarapur, New Delhi, India.
Venkat Charmalaya Centre for Advanced Dermatology and Postgraduate Training, Bangalore, Karnataka, India.
Indian Dermatol Online J. 2019 Jul-Aug;10(4):380-395. doi: 10.4103/idoj.IDOJ_336_18.
Striae distansae (SD) or stretch marks are very common, asymptomatic, skin condition frequently seen among females between 5 to 50 years of ages. It often causes cosmetic morbidity and psychological distress, particularly in women and in certain professions where physical appearances have significant importance. Of late, with the increasing emphasis on cosmetic management and awareness, patients approach dermatologists for stretch marks treatment. However, despite several advances, no fully effective treatment has emerged. Unfortunately, there is paucity of the strong evidence in the literature for the effective treatment of striae. A literature search using the terms 'striae distansae (SD or stretch marks' was carried out in the PubMed, Google Scholar and Medline databases. Only articles related to the treatment were considered and analysed for their data. Commonly cited treatments include topical treatments like tretinoin, glycolic acid, ascorbic acid and various lasers including (like) carbon dioxide, Er:YAG, diode, Q-switched Nd:YAG, pulse dye and excimer laser. Other devices like radiofrequency, phototherapy and therapies like platelet rich plasma, chemical peeling, microdermabrasion, needling, carboxytherapy and galvanopuncture have also been used with variable success. This article reviews all currently accepted modalities and their effectiveness in the treatment of stretch marks.
膨胀纹（SD）或妊娠纹非常常见，是一种无症状的皮肤状况，常见于5至50岁的女性。它常常导致美容问题和心理困扰，尤其是在女性以及外貌至关重要的某些职业中。近来，随着对美容管理和认知的日益重视，患者会找皮肤科医生治疗妊娠纹。然而，尽管有多项进展，但尚未出现完全有效的治疗方法。不幸的是，文献中缺乏关于妊娠纹有效治疗的有力证据。我们在PubMed、谷歌学术和医学在线数据库中使用“膨胀纹（SD或妊娠纹）”这一术语进行了文献检索。仅考虑并分析了与治疗相关的文章及其数据。常见的治疗方法包括外用药物治疗，如维甲酸、乙醇酸、抗坏血酸，以及各种激光，包括二氧化碳激光、铒激光、二极管激光、调Q钕：钇铝石榴石激光、脉冲染料激光和准分子激光。其他设备如射频、光疗，以及富血小板血浆、化学剥脱、微晶磨皮、针刺、羧基疗法和电针疗法等也已使用，但效果不一。本文综述了目前所有被认可的治疗方法及其治疗妊娠纹的有效性。
