Anastasova V N, Georgiev A A, Zanzov E I, Velkova K G, Krasteva E S
Medical University Plovdiv, Plovdiv, Bulgaria.
Ann Burns Fire Disasters. 2023 Mar 31;36(1):63-67. eCollection 2023 Mar.
The formation of pathological scars is a common medical and aesthetic problem worldwide. Surgical interventions, burns and injuries are the most common cause. Treating these scars is a challenge for any surgeon. The Clinic of Plastic-Reconstructive and Aesthetic Surgery with Thermal Trauma and Imaging Diagnostics applied an innovative method of thermotherapy with high-intensity, focused ultrasound in 20 patients with hypertrophic scars and keloids of different age, etiology and parameters. After a series of procedures, we got excellent results, reducing scar size, pigmentation, pain and itching. This type of thermotherapy is successfully applied to pathological scars. In this way, a change in scar density is achieved by converting hard collagen into a gelatin-like mass.As a subsequent procedure, moderately compressive massages are applied for faster resorption of the pathological collection. Our results show that high-intensity focused ultrasound thermotherapy of pathological scars is a non-invasive method of treatment with reasonably good results as regards both aesthetic and functional aspects.
病理性瘢痕的形成是一个全球范围内常见的医学和美学问题。手术干预、烧伤和损伤是最常见的原因。对任何外科医生来说，治疗这些瘢痕都是一项挑战。热创伤与影像诊断整形重建与美容外科诊所对20例不同年龄、病因和参数的增生性瘢痕和瘢痕疙瘩患者应用了一种创新的高强度聚焦超声热疗方法。经过一系列治疗，我们取得了优异的效果，减小了瘢痕大小、色素沉着、疼痛和瘙痒。这种热疗方法已成功应用于病理性瘢痕。通过将硬胶原转化为明胶样物质，实现了瘢痕密度的改变。作为后续治疗，采用适度压迫按摩以促进病理性肿物更快吸收。我们的结果表明，病理性瘢痕的高强度聚焦超声热疗是一种非侵入性治疗方法，在美学和功能方面均取得了相当不错的效果。
