滚轮微针联合皮下分离术和皮肤瘢痕化学重建技术治疗痤疮凹陷性瘢痕疗效分析

    赵洁 张学栋

    

    

    [摘要]目的:观察滚轮微针、皮下分离术联合皮肤瘢痕化学重建技术在痤疮凹陷性瘢痕中的应用效果。方法:选取笔者医院2018年1月-2019年1月治疗的76例痤疮凹陷性瘢痕患者,随机分为两组。对照组:36例,采用滚轮微针、皮下分离术治疗;观察组:40例,采用滚轮微针、皮下分离术联合皮肤瘢痕化学重建技术治疗,比较两组患者的临床疗效、瘢痕改善情况、不良反应以及患者的面部满意度。结果:观察组总有效率显著高于对照组(P0.05);治疗后3个月两组VSS评分均显著降低(P<0.05),且观察组显著低于对照组(P0.05)。观察组患者的面部满意度显著高于对照组(P<0.05)。结论:滚轮微针、皮下分离术联合皮肤瘢痕化学重建技术在痤疮凹陷性瘢痕中的应用效果满意,能够显著改善患者的瘢痕情况,提高临床疗效,并且安全性好,患者的面部满意度更高。

    [关键词]痤疮;凹陷性瘢痕;滚轮微针;皮下分离术;皮肤瘢痕化学重建技术

    [中图分类号]R758.73+3 ? ?[文献标志码]A ? ?[文章编号]1008-6455(2020)05-0045-03

    Abstract: ?Objective ?To observe the effect of microneedle roller, subcision combined with chemical reconstruction of skin scars in acne scars. Methods ?76 patients with acne scars treated in our hospital from January 2018 to January 2019 were selected, 36 patients treated with roller microneedle and subcision were used as control group, 40 patients treated with microneedle roller, subcision combined with chemical reconstruction of skin scars were used as observation group, the clinical outcomes, scar improvement, adverse reactions and patient facial satisfaction of two groups were compared. Results ?The total effective rate of observation group was significantly higher than control group (P0.05).At 3 months after treatment, the VSS scores of both groups were significantly lower (P<0.05), and the VSS score of observation group was significantly lower than control group (P0.05).The facial satisfaction of observation group was significantly higher than control group (P<0.05). Conclusion ?Microneedle roller, subcision combined with chemical reconstruction of skin scars is satisfactory in patients with acne scars, it can significantly improve the patient's scar condition, improve clinical efficacy, it has good safety, and patient satisfaction is higher.

    Key words: acne; sunken scar; microneedle roller; subcision; chemical reconstruction of skin scars

    痤瘡所致炎症导致局部皮肤损伤,真皮组织塌陷以及皮脂腺腔内组织修复和破坏最终形成凹陷性瘢痕,对面部容貌造成不良影响,给患者身心健康带来严重危害,因此,痤疮凹陷性瘢痕作为痤疮愈合后遗留的皮损后遗症,修复越来越受到医患的重视[1-2]。

    近年来,随着医疗技术和设备的快速进步,对痤疮凹陷性瘢痕的治疗方法也不断创新和发展,主要包括点阵激光、外科疗法、化学剥脱术、光电技术、微针、富血小板血浆技术、干细胞技术及联合治疗等[3-4]。尽管面部痤疮凹陷性瘢痕的治疗方法较多,但疗效不一,且均存在一定的不良反应。根据痤疮凹陷性瘢痕的类型进行个体化治疗,选择组合最佳的治疗方法比单一疗法更优[5],如超脉冲二氧化碳点阵激光联合微针疗法、微针联合富血小板血浆技术等联合治疗方案。本研究观察了滚轮微针、皮下分离术联合皮肤瘢痕化学重建技术在痤疮凹陷性瘢痕中的应用效果,现将结果报道如下。

    综上,滚轮微针、皮下分离术联合皮肤瘢痕化学重建技术在痤疮凹陷性瘢痕中的应用效果满意,能够显著改善患者的瘢痕情况,提高临床疗效,并且安全性好,患者的面部满意度更高。

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    [收稿日期]2019-07-05

    本文引用格式:赵洁,张学栋,潘有龙,等.滚轮微针联合皮下分离术和皮肤瘢痕化学重建技术治疗痤疮凹陷性瘢痕疗效分析[J].中国美容医学,2020,29(5):45-47.