中西医结合蚕蚀消溶法治疗面部早期小面积增生性瘢痕

目的探讨采用中西医结合蚕蚀消溶法（即以微针诱导、敷中药膜、涂瘢痕霜联合治疗法）治疗面部早期小面积瘢痕的临床效果及安全性，寻求一种简单有效的面部瘢痕治疗方法。方法选择面部急性创伤愈合后6个月内的小面积增生性瘢痕患者100例，随机分为治疗组和对照组，每组50例。治疗组采用美容毫针密集针刺瘢痕局部的病变组织，敷活血化瘀的中药膜，涂瘢痕霜；对照组不做针刺，其余方法同治疗组。两组均按要求治疗3个月，随访6个月。观察其近期效果、远期效果、并发症、安全性及患者满意度。结果治疗1个月时，两组疗效差异无统计学意义（P〉O．05）。治疗2、3个月时，治疗组效果明显优于对照组，差异有统计学意义（P〈O．05）；且伤后越早接受治疗效果越明显；治疗组施治3个月，停止治疗后瘢痕大部分不再增生，日趋软化、稳定。两组患者对治疗效果无明显不满意者。结论采用中西医结合蚕蚀消溶法治疗面部早期小面积瘢痕，瘢痕软化快，消退提前，效果稳定，无明显不良反应，患者满意率高。

Combined therapy of silkworm eroded dissolving with micro-needle for small facial hyperplastic scar inearly stage

Objective To analyze the clinical efficacy and safety of the silkworm eroded dissol- ving method induced by micro-needle （the combined therapy of traditional Chinese and Western medi- cines including micro-needle guiding, external application of herbal membrane and anti-scar cream） for treatment of facial small area scar in early stage, and to explore a simple and effective therapy for facial scar. Methods Total 100 patients with facial small hyperplastic scar within 6 months after acute trau- ma healing were divided randomly into two groups with 50 cases each. The cases in treatment group were micro-needle acpunctured densely into scar, and then herbal membrane and anti-scar cream were applied. The cases in control group were treated similar to the treatment group except acpuncture. All cases in the two groups were treated for 3 months and followed-up for 6 months. Short term efficacy, long-term efficacy, complications, safety and patient satisfaction were analyzed. Results There was no significant difference between treatment group and control group after treatment for one month, and significant difference was found after treatment for 2, 3 months （P〈（0.05）. The earlier treatment after wound healing, the better efficacy. After treatment for three months most of scar showed no lon- ger hyperplasia, and became soft gradully. Conclusions The combined therapy of micro-needle guid- ing, external application of herbal membrane and anti-scar cream for treatment of early facial small ar- ea scar demonstrates stable effects and high satisfactory rate of patients, the scar softens rapidly, and no obvious side effect occurs.