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皮下分离术:适应证、不良反应和要点。

Subcision: Indications, adverse reactions, and pearls.

机构信息

Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Dermatology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Cosmet Dermatol. 2020 May;19(5):1029-1038. doi: 10.1111/jocd.13308. Epub 2020 Jan 28.

Abstract

BACKGROUND

Subcision, also known as subcutaneous incisionless surgery, is a surgical intervention used to treat a variety of skin conditions including atrophic acne scars, depressed scars, cellulite, and wrinkles.

AIMS

We plan to prepare a review article about the indications of subcision, its adverse reactions, and pearls.

PATIENTS/METHODS: We searched the literature for the information about subcision and its applications from papers published up to March 2019. The search was performed through the databases of the National Library of Medicine.

RESULTS

After a thorough review of the published papers about subcision, we finally chose to review 40 articles that had proper sample size and design to prepare this review article. Twenty-one papers were related to the application of subcision in the treatment of acne scar and other scars. Four articles were about the application of subcision to treat cellulite, and eight articles were related to other applications of subcision such as the treatment of striae or nasolabial fold. The remaining seven articles include published review papers about subcision or acne scar classification.

CONCLUSION

Subcision seems to be effective on various skin conditions including acne scar, other depressed scars, and cellulite. It is easy to apply and inexpensive with short downtime and no significant complications. Subcision needs proper technique and adequate experience.

摘要

背景

皮下切开术,又称皮下无切口手术,是一种用于治疗多种皮肤疾病的手术干预手段,包括萎缩性痤疮瘢痕、凹陷性瘢痕、蜂窝织炎和皱纹。

目的

我们计划撰写一篇关于皮下切开术的适应证、不良反应和要点的综述文章。

患者/方法:我们检索了截至 2019 年 3 月发表的关于皮下切开术及其应用的文献,并通过美国国家医学图书馆的数据库进行了搜索。

结果

在对已发表的关于皮下切开术的论文进行彻底审查后,我们最终选择了 40 篇具有适当样本量和设计的论文来撰写这篇综述。其中 21 篇论文涉及皮下切开术在治疗痤疮瘢痕和其他瘢痕方面的应用。4 篇论文涉及皮下切开术在治疗蜂窝织炎方面的应用,8 篇论文涉及皮下切开术在治疗条纹或鼻唇沟等其他方面的应用。其余 7 篇论文包括关于皮下切开术或痤疮瘢痕分类的已发表综述论文。

结论

皮下切开术似乎对各种皮肤疾病有效,包括痤疮瘢痕、其他凹陷性瘢痕和蜂窝织炎。该方法易于操作,价格低廉,恢复期短,且无明显并发症。皮下切开术需要适当的技术和丰富的经验。

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