CAJ | 학술논문

目的评价皮肤滚针瘢痕内导入曲安奈德治疗增生性瘢痕的临床效果.方法利用皮肤滚针在32例烧伤或烫伤后增生性瘢痕上往复滚动,同时将曲安奈德注射液滴注到创面上,通过微针及其针孔使曲安奈德注射液进入瘢痕组织内发挥疗效.疗效评价采用临床治愈、有效和无效三级标准,以及温哥华烧伤瘢痕评估标准和痛痒视觉模拟评分法,评估患者治疗前后以及治疗后自身对照区痛痒程度、皮肤色泽、硬度和厚度等改变.结果 32例患者经1～3次治疗,临床治愈28例,显效4例,无效0例,总有效率为100％.患者痛痒程度、皮肤色泽、硬度和厚度在治疗前、后及治疗后自身对照差异均有统计学意义(P＜0.05).结论皮肤滚针瘢痕内导入曲安奈德注射液对治疗增生性瘢痕有较好疗效,为药物治疗大面积增生性瘢痕提供了新方法.
목적 평개피부곤침반흔내도입곡안내덕치료증생성반흔적림상효과.방법 이용피부곤침재32례소상혹탕상후증생성반흔상왕복곤동,동시장곡안내덕주사액적주도창면상,통과미침급기침공사곡안내덕주사액진입반흔조직내발휘료효.료효평개채용림상치유、유효화무효삼급표준,이급온가화소상반흔평고표준화통양시각모의평분법,평고환자치료전후이급치료후자신대조구통양정도、피부색택、경도화후도등개변.결과 32례환자경1～3차치료,림상치유28례,현효4례,무효0례,총유효솔위100％.환자통양정도、피부색택、경도화후도재치료전、후급치료후자신대조차이균유통계학의의(P＜0.05).결론 피부곤침반흔내도입곡안내덕주사액대치료증생성반흔유교호료효,위약물치료대면적증생성반흔제공료신방법.
Objective To evaluate the effect of importing triamcinolone acetonide into hypertrophic scars with skin roller needles.Methods Thirty-two cases with burn hypertrophic scar were treated.The skin roller needles were moved back and forth on the hypertrophic scars with triamcinolone acetonide dropping on the scar surface at the same time.So the triamcinolone acetonide could be imported into the scar through needles and needle holes.The effect was evaluated as cured,effective,and no effect.The Vancouver Scaring Criteria and Visual Analogue Scale was used to assess the scar color,thickness,texture and feeling before and after treatment,as well as at the untreated scar area(control).Results Thirty-two cases were treated 1-3 times,including 28 cases with cured result and 4 cases with effective result.The total effective rate was 100％.The scar color,thickness,texture and feeling was significandy different between the scar before and after treatment,or between the treated and untreated scar ( P ＜0.05).Conclusions Importing triamcinolone acetonide into hypertrophic scars with akin roller needlea is effective.It is a new method for the treatment of large hypertrophic scar with medicine.