射频消融治疗增生性瘢痕的疗效观察

目的：评估射频消融治疗增生性瘢痕的临床疗效。方法选择病史在1年以上，瘢痕处于成熟期，病情稳定的增生性瘢痕患者共36例。每例选择两处瘢痕相似的部位，进行自身对照。治疗组采用射频消融祛除瘢痕；对照组不做处理。采用温哥华瘢痕量表于术后6个月和12个月对瘢痕进行评分。结果在射频消融治疗后6个月、12个月治疗组与对照组的温哥华瘢痕评分结果差异均有显著性意义（P＜0．05），治疗组经射频消融治疗后，瘢痕的颜色、厚度、柔软度都得到了显著改善。结论射频消融治疗增生性瘢痕可使瘢痕颜色变淡、厚度变平，是一种理想的祛除瘢痕的方法。

Radiofrequency ablation therapy for pathological scar

Objective To evaluated the clinical efficacy of the radiofrequency ablation for pathological scar .Methods We treated the hyperplastic scar of 36 patients with radiofrequency ablation .All of the patients had were diagnosed with syrin-gomas for at least1 years and the scars were in the mature period .Two similar hyperplastic scar regions are chosen in each patient for self-comparison .The treatment group was treated by radiofrequency ablation and for the control group no any management was performed.The vancouver scar scale was tested in the 6th,12th month after the operation.Results The vancouver scar scale of the treatment group is lower than the control group in the 6th,12th month after operation , and the difference has statistical significance（ P〈0.05）.After be treated by radiofrequency ablation , the color, thickness and soft-ness of scar had been significantly improved .Conclusion After be treated by RF ablation , the color of pathological scars would be fade , the thickness be flattening , and the contracture be alleviate .It is an ideal method to dispel scars .