Department of Plastic and Reconstructive Surgery, Senior Department of Burns and Plastic Surgery, The Forth Medical Center of Chinese PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 10048, China.
Aesthetic Plast Surg. 2024 Oct;48(20):4194-4202. doi: 10.1007/s00266-024-04018-w. Epub 2024 May 14.
Laser and other energy devices have been widely used in the minimally invasive treatment of scars. Among various technologies, Fractional Micro-Plasma Radio Frequency Technology (FMRT) has gained extensive consensus in the treatment of various types of scars and skin disorders, such as wrinkles, skin laxity, and pigmentation.
This study is a retrospective clinical trial aimed at assessing the effectiveness and safety of FMRT for hypertrophic burn scars treatment in the Asian population under different anesthesia methods.
A total of 104 patients with hypertrophic burn scars treated in our department from May 2018 to May 2022 were selected. Scar assessment scales were applied to observe changes in scars before and after FMRT treatment.
A prospective study of 104 patients found that female patients were more likely to undergo laser treatment under general anesthesia (P < 0.05). Postoperative VSS total score, VSS total score difference, and immediate postoperative pain score were all better with general anesthesia compared to local anesthesia (P < 0.05). There were more significant improvements in scar color, vascular distribution, and flexibility (P < 0.05). When comparing the treatment outcomes between females and males, it was found that general anesthesia patients were superior to local anesthesia patients in terms of color score, vascular distribution score, flexibility score, and postoperative VSS total score 6 months after the final treatment. General anesthesia patients had a shorter hospital stay. Overall treatment evaluation was better for female general anesthesia patients than male patients.
General anesthesia combined with FMRT is an effective, safe, and more acceptable treatment method for hypertrophic burn scars in the Asian population.
In the Asian population, the combined use of general anesthesia and Fractional Micro-Plasma Radio Frequency Technology (FMRT) is an effective, safe, and accepted method for treating skin scars.
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激光和其他能量设备已广泛应用于微创治疗疤痕。在各种技术中,分微等离子射频技术(FMRT)在治疗各种类型的疤痕和皮肤疾病方面,如皱纹、皮肤松弛和色素沉着,已获得广泛共识。
本研究是一项回顾性临床试验,旨在评估 FMRT 治疗亚洲人群不同麻醉方法下肥厚性烧伤疤痕的有效性和安全性。
选取 2018 年 5 月至 2022 年 5 月在我科治疗的 104 例肥厚性烧伤疤痕患者,应用疤痕评估量表观察 FMRT 治疗前后疤痕的变化。
前瞻性研究 104 例患者发现,女性患者更倾向于全麻下接受激光治疗(P < 0.05)。与局部麻醉相比,全麻术后 VSS 总分、VSS 总分差值和即刻术后疼痛评分均更好(P < 0.05),在疤痕颜色、血管分布和柔韧性方面的改善更显著(P < 0.05)。比较女性和男性的治疗效果,全麻患者在治疗后 6 个月时在颜色评分、血管分布评分、柔韧性评分和术后 VSS 总分方面优于局部麻醉患者。全麻患者的住院时间更短。总体治疗评估显示,女性全麻患者的疗效优于男性患者。
FMRT 联合全麻是治疗亚洲人群肥厚性烧伤疤痕的有效、安全且更易接受的治疗方法。
在亚洲人群中,FMRT 联合全麻是治疗皮肤疤痕的有效、安全且可接受的方法。
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