面部瘢痕整形手术后胶布减张治疗疗效观察

Skin closure srips in preventing hypertrophic scar formation in facial incisions

目的:探讨使用免缝胶布对伤口减张制动的方法和治疗效果。方法:对62例面部瘢痕或痣切除手术患者,随机分组,45例为治疗组,术后5天拆线,拆线当天开始使用免缝胶布。胶布垂直跨越伤口线粘贴,使创缘处于无张力状态。17例为对照组,未使用免缝胶布。术后6个月对瘢痕进行临床评分,治疗组与对照组对比,统计分析。结果:62例患者伤口均一期愈合,治疗组37位(82%)、对照组4位(23%)患者瘢痕恢复至成熟期,没有痒或刺痛的主观症状,瘢痕颜色淡、平坦、质地软;治疗组5位(11.1%)、对照组13位(76.5%)患者瘢痕增宽,有痒或刺痛的症状,瘢痕颜色红,突出皮面。结论:免缝胶布可以有效地减轻伤口两侧张力,减少瘢痕增生,是一种瘢痕术后重要的辅助治疗。

Objective to evaluate the efficacy of skin closure strips in preventing hypertrophic scarring in facial incisions. Methods Sixty-two patients who had undergone scar or naevus section were randomized to treatment and control groups. Patients in the control group received no postoperative intervention. Patients in the treatment group applied skin closure strips to their scars once the sutures were removed for 6 monthes. Scars were assessed using the International Clinical Recommendations. Results 76.5% of the control group developed hypertrophic scars compared with 11.1% in the treatment group. One patients in the treatment group developed a localized red rash beneath the tape. Conclusion Tension acting on a scar is the elusive trigger for hypertrophic scarring. Skin closure strips is likely to be an effective modality for the prevention of hypertrophic scarring through its ability to eliminate scar tension.