铒像素激光联合硅凝胶软膏预防面部术后瘢痕的疗效观察

目的:观察铒像素激光联合硅凝胶软膏预防面部术后瘢痕的疗效。方法:治疗组35例,面部切口愈合后1月内开始铒像素激光治疗,每月1次,共5次,同时使用硅凝胶软膏治疗;对照组41例,仅使用硅凝胶软膏治疗,方法同治疗组。术后6个月时以温哥华瘢痕测量表为依据,比较两组患者瘢痕的治疗效果。结果:瘢痕总评分均值:治疗组3.43±1.945,对照组4.37±1.593,t=-2.310,P<0.05;瘢痕色泽评分均值:治疗组1.09±0.919,对照组1.78±0.881,t=-3.359,P<0.05。结论:铒像素激光联合硅凝胶软膏预防面部术后瘢痕的效果,在术后6个月时优于单独使用硅凝胶软膏,其中瘢痕色泽的改善优于单独使用硅凝胶软膏。

The therapeutic effect of erbium pixel laser combined with silicone gel to prevent of postoperative facial scar

Objective To observe the effect of facial scars were treated with erbium combined with silicone gel. Methods The treatment group of 35 cases, within one month wound healing begin the pixel erbium laser treatment, 1 times a month, a total of five silicon gel at the same time. The control group were 41 cases, only use the silicone gel pixel laser after facial times, use . the same way as the treatment group. After 6 months treatment, Vancouver Scar scale （VSS） as the basis to evaluate the therapeutic effects were compared two groups. Results The mean total score on scar ： treatment group was 3.43±1.945,control group was 4.37＋1.593,t=-2.310,P〈0.05;the mean score on scar color： treatment group was 1.09±0.919,control group was 1.78 ±0.881,t =-3.359,P 〈0.05. Conclusion Erbium pixel laser combined with silicone gel to prevent facial scar effect in 6 months after operation is better than only using silicon gel, especially the scar color is better than single use of silicone gel.