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手部肥厚性瘢痕:光生物调节理论作为一种新兴治疗方法的作用。

Hypertrophic Scars of the Hand: The Role of Electrophotobiomodulation Theory as a Recent Line of Treatment.

机构信息

From the Department of Plastic Surgery, Faculty of Medicine, Tanta University.

出版信息

Plast Reconstr Surg. 2023 Feb 1;151(2):375-383. doi: 10.1097/PRS.0000000000009962. Epub 2022 Nov 10.

Abstract

BACKGROUND

A more enduring strategy for the treatment of hypertrophic scars of the hand is still a challenge facing restorative dermatologists and plastic surgeons. Nonetheless, with the use of nonablative devices, intense pulsed light and different types of lasers have started to yield promising outcomes and are close to becoming an effective and dependable technique. The advances in radiofrequency energy have brought new life to optical-based frameworks. Radiofrequency current delivers an unadulterated heat effect according to the electrical response characteristics of each tissue. The purpose of this study was to assess the patient satisfaction, safety, and clinical efficacy of the use of electrophotobiomodulation (combined intense pulsed light and radiofrequency energy) in the treatment of postburn hypertrophic scars of the hand.

METHODS

This was a prospective clinical study that was performed on 56 patients who presented with postburn hypertrophic scars on the hands between March of 2013 and January of 2020.

RESULTS

The clinical appraisal showed excellent results in 33 patients (58.9%), good results in 18 patients (32.2%), fair results in five patients (8.9%), and no poor results.

CONCLUSION

The use of radiofrequency energy combined with intense pulsed light was effective for the treatment of hand scars on people with various skin tones.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

摘要

背景

对于手部肥厚性瘢痕的治疗,更持久的策略仍然是修复皮肤科医生和整形外科医生面临的挑战。尽管如此,随着非消融设备、强脉冲光和不同类型激光的使用,已经开始取得有希望的效果,并且接近成为一种有效和可靠的技术。射频能量的进步为基于光学的框架带来了新的生命。射频电流根据每种组织的电响应特性提供纯净的热效应。本研究的目的是评估光电生物调节(强脉冲光和射频能量联合使用)治疗手部烧伤后肥厚性瘢痕的患者满意度、安全性和临床疗效。

方法

这是一项前瞻性临床研究,于 2013 年 3 月至 2020 年 1 月期间对 56 名手部烧伤后出现肥厚性瘢痕的患者进行了研究。

结果

临床评估显示 33 名患者(58.9%)疗效极佳,18 名患者(32.2%)疗效良好,5 名患者(8.9%)疗效尚可,无疗效差的患者。

结论

射频能量联合强脉冲光治疗不同肤色人群手部瘢痕有效。

临床问题/证据水平:治疗,IV。

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