瘢痕临床修复治疗需要不断实践创新

The clinical repair and therapy of scar require constant practice and innovation

严重烧（创）伤救治的不断进步虽然使得患者存活率大大提升，但高达40％-70％的患者在烧（创）伤后会出现增生性瘢痕，面临功能和心理后遗症等康复难题，从而降低患者生活质量，影响融入社会。迄今为止包括手术治疗在内瘢痕现有的治疗手段均存在不同程度局限性，影响治疗效果。近年来皮瓣外科学和创面修复技术不断发展，穿支皮瓣、皮瓣预扩张技术、自体瘢痕复合皮移植、负压伤口治疗技术、3D及4D生物打印等新技术为瘢痕临床修复治疗提供了高质量组织修复材料，具有广泛的临床应用前景，取得了更加满意的临床修复治疗效果。未来瘢痕临床修复治疗需要进一步加强实践创新，加强基础和临床应用研究并将两者密切结合，进一步阐明新的瘢痕预防和治疗策略，以改善瘢痕患者的预后和生活质量。

Improvements in severe burn and trauma care have enabled patients to survive massive burns and severe injury that would have once been fatal. Now up to 40% -70% of patients develop hy- pertrophic sears after burns and trauma. The functional and psyehosocial sequelae remain a major rehabil- itative challenge, decreasing quality of life and delaying reintegration into society. So far, including surgical treatment, existing scar treatments have different degrees of limitations. In recent years, flap surger- y and wound repair technology develop rapidly, such as perforator flap, flap dilation techniques, autolo- gous scar composite skin, negative pressure wound treatment technology, the new technology of 3D and 4D bioprinting technology etc. These new technologies provide high quality tissue repair materials for clinical treatment of scar repair have a broad prospect of clinical application, and have achieved more sat- isfactory clinical repair treatment effect. The future need is to further strengthen the practice and innova- tion of scar repair, and the basic research and clinical application of scar should be strengthened and combined closely. The new elucidation of the scar prevention and therapeutic strategies should be put foward to improve the prognosis of patients with scar and the quality of life.