瘢痕内分离术联合二氧化碳点阵激光治疗面部凹陷性瘢痕的临床效果分析

Clinical effect analysis of scar separation surgery combined with carbon dioxide dot matrix laser treatment for facial depressed scars

目的 研究面部凹陷性瘢痕患者在瘢痕内分离术联合二氧化碳点阵激光治疗下的效果。方法 选取福建省福清市医院皮肤科于2022年1月至2022年12月收治的60例面部凹陷性瘢痕患者作为研究对象,采用随机双盲法分组,两组各30例。对照组采用二氧化碳点阵激光治疗,观察组在对照组基础上联用瘢痕内分离术治疗。对比两组临床治疗效果。结果 观察组治疗总有效率高于对照组,差异显著(P<0.05)。观察组色素沉着和瘢痕面积低于对照组,差异显著(P<0.05)。观察组油脂含量低于对照组、皮肤含水量高于对照组,差异显著(P<0.05)。观察组痤疮瘢痕程度ECCA权重评分低于对照组,差异显著(P<0.05)。观察组温哥华瘢痕量表评分低于对照组,差异显著(P<0.05)。观察组色素沉着发生率低于对照组,差异显著(P<0.05);持续性红斑发生率与对照组无显著差异(P> 0.05)。结论 面部凹陷性瘢痕患者在瘢痕内分离术联合二氧化碳点阵激光治疗下的效果更好,因此瘢痕内分离术联合二氧化碳点阵激光治疗更具推广价值。

Objective To study the effect of facial concave scar patients treated with scar separation surgery combined with carbon dioxide dot matrix laser.Method Sixty patients with facial depressed scars admitted to the dermatology department of Fuqing City Hospital in Fujian Province from January 2022 to December 2022 were selected as the study subjects.They were randomly divided into two groups using a double blind method,with 30 patients in each group.The control group was treated with carbon dioxide lattice laser,while the observation group was treated with scar separation surgery in combination with the control group.Compare the clinical treatment effects of two groups.Result The total effective rate of the observation group was higher than that of the control group,with a significant difference(P <0.05).The pigmentation and scar area in the observation group were sigificantly lower than those in the control group(P <0.05).The oil content in the observation group was lower than that in the control group,and the skin moisture content was higher than that in the control group,with significant differences(P <0.05).The ECCA weight score of acne scar degree in the observation group was significantly lower than that in the control group(P <0.05).The Vancouver Scar Scale score in the observation group was significantly lower than that in the control group(P <0.05).The incidence of pigmentation in the observation group was significantly lower than that in the control group(P <0.05);The incidence of persistent erythema showed no significant difference compared to the control group(P> 0.05).Conclusion Patients with facial depressed scars have better results under the combination of scar separation surgery and carbon dioxide dot matrix laser treatment,therefore the combination of scar separation surgery and carbon dioxide dot matrix laser treatment has more promotional value.