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基于 Endolift 的皮下分离术治疗痤疮瘢痕的疗效评价。

Efficacy evaluation of Endolift-based Subcision on acne scar treatment.

机构信息

Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Jordan Dermatology and Hair Transplantation Center, Tehran, Iran.

出版信息

J Cosmet Dermatol. 2021 Aug;20(8):2579-2582. doi: 10.1111/jocd.13876. Epub 2020 Dec 21.

Abstract

BACKGROUND

People with acne scar suffer from destruction to the surface of the skin. Treating acne scars is a challenge that might need several methods.

AIMS

Subsection is a method that has been informed to be a useful method in treating rolling acne scars. While Subcision is a valued procedure, its effect is mild to moderate due to its high reappearance rate, and patients' dissatisfaction with some of the side effects such as inflammation after procedure.

PATIENTS/METHODS: In this pilot study, 9 rolling acne scar patients underwent Subcision with the Endolift (200-nm fiber) and followed up for 3 months. Outcomes were evaluated by 3 dermatologists (Blind). Also, the patients' satisfaction was assessed to compare with dermatologist's opinions.

RESULTS

Our results indicated that Subcision with the Endolift displayed good and very good improvement in about 90% of patient with a good and very good satisfaction in the patients. Photographic data evaluation indicated 100% improvement in scar depth, topography, and total acne scar appearance. The average numbers of lesions before the treatment were 25.5 ± 12.1, and after treatment, it was reduced to 11.4 ± 2.1 (P < .05).

CONCLUSION

Subcision with the Endolift seems to be a safe and effective method for acne scar treatment. It is done with a single perforation on each side (instead of several perforations), which reduces the pain and scar risk in the patients. Also, Endolift-based Subcision needs fewer surgical sessions and less recovery time with less inflammation and erythema.

摘要

背景

痤疮疤痕患者的皮肤表面受到破坏。治疗痤疮疤痕是一个挑战,可能需要多种方法。

目的

皮下分离术(subcision)是一种已被证实对治疗滚动型痤疮疤痕有用的方法。虽然皮下分离术(subcision)是一种有价值的手术,但由于其高复发率,以及患者对术后炎症等一些副作用的不满,其效果是轻度至中度的。

患者/方法:在这项初步研究中,9 例滚动型痤疮疤痕患者接受了 Endolift(200nm 纤维)辅助的皮下分离术(subcision)治疗,并随访 3 个月。由 3 名皮肤科医生(盲法)评估疗效。同时,评估患者满意度以与皮肤科医生的意见进行比较。

结果

我们的结果表明,Endolift 辅助的皮下分离术(subcision)在约 90%的患者中显示出良好和非常好的改善,患者的满意度也很好。照片数据评估显示,疤痕深度、形貌和总痤疮疤痕外观的改善率达到 100%。治疗前平均病变数为 25.5±12.1,治疗后减少至 11.4±2.1(P<.05)。

结论

Endolift 辅助的皮下分离术(subcision)似乎是一种安全有效的痤疮疤痕治疗方法。它在每侧只做一个穿孔(而不是几个穿孔),减少了患者的疼痛和疤痕风险。此外,基于 Endolift 的皮下分离术(subcision)需要的手术次数更少,恢复时间更短,炎症和红斑更少。

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