CAJ | 학술논문

目的：探索皮肤伤口减张器在增生性瘢痕和瘢痕疙瘩切除术后，减少切口瘢痕形成和抑制瘢痕增生的作用。方法选取10例增生性瘢痕和瘢痕疙瘩患者，行病理性瘢痕切除术，采用自身对照的方法，将瘢痕术后切口分为减张组和对照组。减张组瘢痕术后切口局部使用皮肤减张器，对照组瘢痕术后切口不使用减张器。定期随访3个月，比较两组瘢痕宽度、温哥华瘢痕量表评分，并进行统计分析。结果与对照组相比，术后1、3个月减张组术后瘢痕宽度较对照组窄，温哥华瘢痕量表评分低，差异显著（P<0.05）。结论皮肤伤口减张器对抑制手术后皮肤切口张力导致的瘢痕形成具有明确作用，能在一定程度上缩小瘢痕宽度、抑制瘢痕增生，从而提高增生性瘢痕和瘢痕疙瘩的手术治疗效果。
목적：탐색피부상구감장기재증생성반흔화반흔흘탑절제술후，감소절구반흔형성화억제반흔증생적작용。방법선취10례증생성반흔화반흔흘탑환자，행병이성반흔절제술，채용자신대조적방법，장반흔술후절구분위감장조화대조조。감장조반흔술후절구국부사용피부감장기，대조조반흔술후절구불사용감장기。정기수방3개월，비교량조반흔관도、온가화반흔량표평분，병진행통계분석。결과여대조조상비，술후1、3개월감장조술후반흔관도교대조조착，온가화반흔량표평분저，차이현저（P<0.05）。결론피부상구감장기대억제수술후피부절구장력도치적반흔형성구유명학작용，능재일정정도상축소반흔관도、억제반흔증생，종이제고증생성반흔화반흔흘탑적수술치료효과。
Objective To explore the effect of the skin tension reduction device on reducing scar formation after excisional surgery of hypertrophic scars and keloids. Methods Total 10 patients with hypertrophic scars and keloids were enrolled in this study. All of them received excisional surgery. Total 10 patients were involved as a self control study with part of wound treated with tendon reduction device, the other part with no treatment as control. All patients were observed for scar formation at surgical wound sites for 3 months post-surgery. Scar width and Vancouver scar scale were used as the parameter to quantify the differences between two groups. Results Compared with control group, the postoperative scar in tension reduction group was narrower in scar width and lower in the Vancouver scar scale scores with statistical significance (P<0.05). Conclusion Application of the skin reduction device can efficiently inhibit wound tension induced scar formation at post-surgery sites with significant reduction of scar width and hyperplasia after excisional surgery of hypertrophic scars/keloids.