Bardot J
Service de chirurgie plastique et réparatrice, hôpital de la Conception, Marseille.
Rev Prat. 1994 Sep 1;44(13):1763-8.
Improving scar quality has become a major concern for surgeons. Although good skin suturing is of primordial important, the healing process varies greatly from one patient to another and the risk of hypertrophic or keloid scar evolution is currently unpredictable. Local massage and above all post-operative compression using compressive garments and sheets of silicon are an efficient methods of counteracting the proliferative phase which occurs during the first few months. In severe cases, particularly in burn patients, high-pressure springwater hydrotherapy to reduce scar contracture has proved to be effective. The current trend is to decrease the risk of bad scars in the immediate post-traumatic, post-operative stage in order to obtain the best possible scar initially and thus avoid revision surgery.
改善瘢痕质量已成为外科医生的主要关注点。尽管良好的皮肤缝合至关重要，但愈合过程在不同患者之间差异很大，目前肥厚性或瘢痕疙瘩性瘢痕演变的风险无法预测。局部按摩，尤其是术后使用加压服装和硅胶片进行压迫，是对抗最初几个月出现的增生期的有效方法。在严重病例中，特别是烧伤患者，高压泉水水疗以减少瘢痕挛缩已被证明是有效的。当前的趋势是在创伤后、术后即刻降低不良瘢痕的风险，以便最初获得尽可能好的瘢痕，从而避免修复手术。
