微等离子体治疗各类瘢痕疗效观察

Efficacy of micro-plasma in treating scars

目的:比较微等离子体治疗各类瘢痕的疗效。方法:52例瘢痕患者,包括19例痤疮瘢痕,10例外伤瘢痕,12例手术瘢痕,6例烫伤瘢痕,5例其他瘢痕。均采用微等离子体治疗,每8周治疗1次。治疗前后采用痤疮瘢痕权重评分(ECCA)与患者自身评估相结合的方法进行疗效评估。结果:3次治疗后痤疮瘢痕有效2例(10.53%),显效6例(31.58%),治愈11例(57.89%);外伤瘢痕有效2例(20%),显效2例(20%),治愈6例(60%);手术瘢痕有效2例(16.67%),显效4例(33.33%),治愈6例(50%);烫伤瘢痕显效2例(33.33%),治愈4例(66.67%);其他瘢痕见效1例(20%),显效1例(20%),治愈3例(60%)。治疗后出现局部色素沉着1例(手术瘢痕),不良反应发生率为1.9%。结论:微等离子体对各类瘢痕均有较好疗效,值得推广。

Objective： Comparison of the efficacy of the micro-plasma in treating various types of scars. Methods： The micro-plasma was used to treat 52 patients with scars, including 19 cases of acne scars, 10 cases of traumatic scars, 12 cases of surgical scars, 6 cases of burn scars and 5 cases of other scars, once every 8 weeks. Therapeutic efficacies were evaluated using ECCA grading scale and the patients＇ self assessment before and after 3 treatments. Results： The improved, markedly improved and cured rates were 1053%（2 cases）, 3158%（6 cases）, and 57.89%（11 cases）, respectively, for acne scars. For traumatic scars, the improved, markedly improved and cured rates were 20%（2 cases）, 20%（2 cases）, and 60%（6 cases）, respectively. For surgical scars, the improved, markedly improved and cured rates were 16.67%（2 cases）, 33.33%（4 cases）, and 50%（6 cases）, respectively. For burn scars, the markedly improved and cured rates were 3323%（2 cases） and 66.67%（4 cases）, respectively. Among 5 cases of other scars, the number of improved and markedly improved cases was one each, and the rest 3 cases were cured. The adverse reaction rate was 1.9%（pigmentation in case with surgical scar）. Conclusion： The micro-plasma treatment is effective for all types of scars. It is worthwhile to try it.