摘要
目的探讨微晶磨削术对皮肤浅表性瘢痕的临床疗效。方法使用意大利产微晶瘢痕治疗机,借助机内压缩空气的压力,将微晶颗粒高速急骤地喷打在皮肤瘢痕表面上,造成瘢痕表皮的蜂窝状损伤,同时使用微晶磨头在瘢痕表面上磨削。结果本组2538例浅表性皮肤瘢痕,进行2～10次的反复磨削治疗,使凹凸不平的瘢痕表面平滑、外观改善,结果较为满意。其中有6例术后出现粟丘疹,11例出现色素减退,8例出现色素脱失。80%患者产生色素沉着并在术后2～6个月消退。2例组织病理学观察显示磨削术后瘢痕面积缩小,瘢痕表面的鳞状上皮棘细胞层增生明显,表皮基底层黑色素细胞增多。真皮乳头层成纤维细胞增生活跃,胶原纤维排列趋于有序。结论微晶磨削术修复皮肤浅表性瘢痕是一种简便有效的方法。
Objective To oberserve the changes in histopathology and clinical effect after the treatment of superficial scars in human faces and exposed parts of human extremities with crystallitic dermabrasion. Methods The machine made in Italy can produce the high speed crystallite to the surface of the scar, resulting in the alveolate wounds. At the same time the crystallitic drill make the accidented scar smooth. Results Two thousands and five hundreds and thirty eight suffers were treated for 2～10 times. The appearance of the scars was improved. Six patients complicated with milium, Eleven got hypopigmentation, eight got hypomelanotation. Eighty percent patients of this groups got pigmentation after the treatment. This signs disappeared or improved after 2～6 months. Histopathology demonstrated the scar area became small, the fibroblasts increased remarkably and the collagenous fiber arranged regularly. The cells in the stratum spinosum proliferated actively. Conclusions Crystallitic dermabrasion is a simple and safe method for the treatment of skin superficial scars.;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2005年第3期194-196,共3页
Chinese Journal of Plastic Surgery
基金
广东省卫生厅科研基金项目(A1998)
中山医科大学校基金项目(2001)资助
