瘢痕综合治疗的临床实践与思考

Clinical practice and thinking of comprehensive scar treatment

瘢痕是伤口愈合过程中组织修复的结果,其治疗一直是整形外科医生临床工作的重点与难点,因发病机制尚不明确,治疗方法众多,例如压力治疗、药物治疗、手术切除、激光及脂肪移植疗法等,如何在正确的时机选择正确的治疗方法以及如何正确联合多种方法进行治疗决定着最终的治疗效果。该文基于现有文献报道及作者的临床经验,就瘢痕综合治疗的临床实践进行述评,以期为瘢痕的有效治疗提供相关参考。

Scar is the result of the tissue repair in wound healing.The treatment of scar has been the keypoint and difficulty in clinical work.Because the pathogenesis of the disease is still unclear,there are many treatment method,such as compression therapy,drug therapy,surgical resection,laser and fat transplantation therapy.How to choose the right treatment at the right time and how to combine multiple treatments correctly will determine the final therapeutic effect.Based on the existing literatures and personal clinical experiences,this paper reviewed the clinical practice of comprehensive scar treatment in order to provide relevant references for the effective treatment of scar.