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硅酮敷料减轻颌面头颈部创口瘢痕临床研究 被引量:5

Preliminary clinical study of silicone dressing to reduce wound scar in the maxillofacial-head and neck regions
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摘要 目的评价硅酮敷料对颌面头颈部创口早期愈合及瘢痕减轻的疗效。方法 2014年7年至2015年12月青岛大学附属医院口腔颌面外科就诊的40例行颌面头颈部肿物切除术后患者,随机分为对照组与试验组,每组各20例,对照组常规换药直至创口愈合,试验组在此基础上应用硅酮敷料治疗。连续治疗3个月,比较两组创口早期愈合情况,采用客观指标结合主观评判方式系统评价两组创口的瘢痕发生情况。所有患者随访6~12个月。结果两组患者手术创口均甲级愈合,试验组与对照组愈合时间分别为(5.2±1.3)d和(7.1±0.7)d。使用温哥华瘢痕量表(VSS)检查显示,两组的色泽评分、血管分布评分及柔软度评分差异均有统计学意义(P<0.05)。在疼痛和瘙痒评分方面,治疗1周后两组差异有统计学意义(P<0.05)。随访期间两组患者的创口瘢痕均未见继续增大或复发。结论硅酮敷料有助于颌面头颈部创口愈合,能够减轻瘢痕形成。  Objective To evaluate the clinical effects of silicone dressing on early wound healing and the prevention of the scars in the maxillofacial-head and neck regions.Methods Totally 40 patients after surgical excision at our department were randomly and equally divided into treatment group (20 patients) and control group (20 patients).The control group was treated with regular dressing,and the treatment group was treated with silicone dressing on the basis of regular dressing.The procedure was performed for 3 months.The early wound healing of the two groups was compared by incision healing time and healing rate,while the objective parameters and subjective symptoms were examined to assess the scars.All the patients were followed up for 6 ~ 12 months.Results The wound healing rate of the two groups was excellent,and the healing time of the treatment group and control group was (5.2 ± 1.3)d and(7.1 ± 0.7)d,respectively.After 3 months of treatment with silicone dressing,the treatment group showed a significant better improvement in terms of pliability,vascularity and pigmentation than control group (P 〈 0.05).In terms of itching and pain score,there was also significant difference between the treatment group and control group after one week of treatment (P 〈 0.05).During the follow-up,the wound scar of both groups showed no relapse or continuing increase.Conclusion Silicone dressing can be used to improve the wound healing and reduce the formation of the scars.
出处 《中国实用口腔科杂志》 CAS 2017年第5期305-308,共4页 Chinese Journal of Practical Stomatology
关键词 硅酮敷料 颌面头颈部 创口 瘢痕 silicone dressing maxillofacial-head and neck regions wound scar
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  • 1舒立涛,徐宝顺,王蔚然.伤口湿性愈合的新理念[J].中国实用美容整形外科杂志,2004,15(6):336-336. 被引量:51
  • 2刘海兵,唐丹,曹海燕,李奎成.温哥华瘢痕量表的信度研究[J].中国康复医学杂志,2006,21(3):240-242. 被引量:276
  • 3程光惠,姜德福,韩东梅,王彦琦.手术联合术后放射治疗瘢痕疙瘩的疗效观察[J].中华放射医学与防护杂志,2006,26(3):274-274. 被引量:16
  • 4Bloemen MC,van der Veer WM,Ulrich MM,et al.Prevention and curative management of hypertrophic scar formation.Burns,2009,35(4):463-475.
  • 5蔡景龙.瘢痕临床防治方案建议.第四届华东六省一市整形外科学术会议暨2007年浙江省整形、美容学术会议论文汇编,温州,2007.
  • 6Alster TS,Tanzi EL.Hypertrophic scars and keloids etiology and management.Am J Clin Dermatol,2003,4(4):235-243.
  • 7葛绳徳,夏照帆.临床烧伤外科学.北京:金盾出版社,2006:815-820.
  • 8Vercelli S,Ferriero G,Sartorio F,et al.How to assess postsurgical scars:a review of outcome measures.Disabil Rehabil,2009,31(25):2055-2063.
  • 9Durani P,McGrouther DA,Ferguson MW.Current scales for assessing human scarring:a review.J Plast Reconstr Aesthet Surg,2009,62(6):713-720.
  • 10Oliveira GV,Chinkes D,Mitchell C,et al.Objective assessment of burn scar vascularity,erythema,pliability,thickness,and planimetry.Dermatol Surg,2005,31(1):48-58.

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