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CO2点阵激光联合美宝烧伤膏治疗面部术后瘢痕的疗效观察

The Effectiveness of Using CO Fractional Laser and Mebo Burn Ointment Together in Treating Scars on the Face after Surgery.

作者信息

Zhang Jiaqi, Ge Jun, Chen Chen, Shi Fen, Wang Yongzhen, Zhang Jinming, Liang Weiqiang

机构信息

From the Department of Plastic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Plast Reconstr Surg Glob Open. 2023 Sep 11;11(9):e5254. doi: 10.1097/GOX.0000000000005254. eCollection 2023 Sep.

Abstract

BACKGROUND

This study aimed to investigate the efficacy and safety of CO fractional laser combined with Mebo burn ointment in treating facial postoperative scars.

METHODS

Sixty patients with facial postoperative scars in the department of plastic surgery of Sun Yat-sen Memorial Hospital from January 2020 to June 2022 were divided into a control group (30 cases) and a study group (30 cases). Both groups received CO fractional laser treatment, but the study group also received Mebo burn ointment application.

RESULTS

The study found that both methods resulted in a significant decrease in Sawada score and a significant increase in Investigator Global Assessment score after treatment ( < 0.05), with the study group showing a more significant improvement and higher patient satisfaction ( < 0.05). All patients experienced varying degrees of bleeding, swelling, and erythema immediately after treatment, with two cases of pigmentation and two cases of persistent erythema in the control group, and one case of pigmentation and one case of persistent erythema in the study group. Adverse reactions were minimal, with the study group showing better tolerance.

CONCLUSIONS

The study suggests that CO fractional laser combined with Mebo burn ointment is an effective and safe treatment for facial postoperative scars.

摘要

背景

本研究旨在探讨二氧化碳点阵激光联合美宝烧伤膏治疗面部术后瘢痕的疗效及安全性。

方法

选取2020年1月至2022年6月在中山大学孙逸仙纪念医院整形外科就诊的60例面部术后瘢痕患者,分为对照组(30例)和研究组(30例)。两组均接受二氧化碳点阵激光治疗,但研究组还加用美宝烧伤膏。

结果

研究发现,两种方法治疗后泽田评分均显著降低,研究者整体评估评分均显著升高(<0.05),研究组改善更显著,患者满意度更高(<0.05)。所有患者治疗后即刻均出现不同程度的出血、肿胀及红斑,对照组有2例色素沉着和2例持续性红斑,研究组有1例色素沉着和1例持续性红斑。不良反应轻微,研究组耐受性更好。

结论

本研究提示,二氧化碳点阵激光联合美宝烧伤膏治疗面部术后瘢痕有效且安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/864f/10511033/19d937f20aef/gox-11-e5254-g001.jpg

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