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微等离子体射频联合硅酮凝胶敷料治疗早期外伤性面部瘢痕:一项回顾性研究。

Micro-plasma radiofrequency and silicone gel dressings for treating early post-traumatic facial scars: A retrospective study.

机构信息

China-Japan Union Hospital of Jilin University, No. 126 of Xiantai Street, Changchun 130033, China.

China-Japan Union Hospital of Jilin University, No. 126 of Xiantai Street, Changchun 130033, China.

出版信息

J Plast Reconstr Aesthet Surg. 2023 Dec;87:10-16. doi: 10.1016/j.bjps.2023.09.004. Epub 2023 Sep 12.

Abstract

BACKGROUND

Although different options are available for treating post-traumatic facial scars, they remain a therapeutic challenge.

AIM

To evaluate the safety and effectiveness of combined therapy using micro-plasma radiofrequency (MPRF) technology and silicone gel (SG) dressings for treating post-traumatic facial scars.

METHODS

This retrospective study was conducted at a single center. Patients with facial injuries in the outpatient and emergency units of the Department of Plastic Surgery at our hospital underwent debridement and cosmetic sutures performed by the same surgeon from October 2020 to October 2021. In the first arm, patients with facial injuries were treated with MPRF technology and SG, and in the second arm, they were treated with SG dressings alone. We observed the safety and effectiveness of these treatments in both arms.

RESULTS

A total of 32 patients with facial injuries were treated with MPRF technology and SG dressings (combined treatment group), and 28 patients were treated with SG dressings alone (SG group). After 6 months of treatment, the Vancouver Scar Scale scores of the combined treatment and SG groups were 1.38 ± 0.71 and 4.39 ± 0.50, respectively, and the difference was statistically significant (P < 0.01). After 6 months of treatment, the effectiveness rate in the combined treatment group was 93.8%, which was significantly higher than that in the SG group (67.9%), and the difference between the two groups was statistically significant (P < 0.05). No obvious adverse reactions occurred in the two arms.

CONCLUSION

Treating early post-traumatic facial scars with combined MPRF technology and SG is significantly better than treating them with SG alone; moreover, the combined therapy is safe and effective.

摘要

背景

尽管有多种选择可用于治疗创伤后面部疤痕,但它们仍然是一个治疗挑战。

目的

评估微等离子射频(MPRF)技术联合硅酮凝胶(SG)敷料治疗创伤后面部疤痕的安全性和有效性。

方法

这是一项单中心回顾性研究。2020 年 10 月至 2021 年 10 月期间,我院整形外科学门诊和急诊部的面部损伤患者由同一位外科医生进行清创和美容缝合,将这些患者分为两组:一组采用 MPRF 技术联合 SG 治疗,另一组仅采用 SG 敷料治疗。我们观察了这两种治疗方法在两组中的安全性和有效性。

结果

共有 32 例面部损伤患者采用 MPRF 技术联合 SG 敷料(联合治疗组)治疗,28 例患者仅采用 SG 敷料治疗(SG 组)。治疗 6 个月后,联合治疗组和 SG 组的温哥华疤痕量表评分分别为 1.38±0.71 和 4.39±0.50,差异有统计学意义(P<0.01)。治疗 6 个月后,联合治疗组的有效率为 93.8%,明显高于 SG 组(67.9%),两组差异有统计学意义(P<0.05)。两组均未出现明显不良反应。

结论

与单独使用 SG 相比,早期联合 MPRF 技术和 SG 治疗创伤后面部疤痕的效果显著更好,且联合治疗安全有效。

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