疤痕增生

13例重度疤痕增生手术后核素~（32）磷治疗的体会

Radionuclide ~ ( 32 ) P therapeutical experience of post-surgery of 13 patients with serious hypertrophic scar

方法用中草药贴膏治疗疤痕增生和疤痕疙瘩患者共152例。

Methods Treating 152 cases with scar proliferation and keloid with chinese medicinal herb adhesive plaster .

术后患者有明显的疤痕增生，并且需要较长时间的镇痛治疗，较长的住院及术后患肢固定的时间。

Postoperative patients with significant scarring and analgesic treatment and takes a longer hospital stay and postoperative limb fixed time .

45例肤色正常，皮肤弹性好，2例有花斑状色素沉着，1例有轻度的疤痕增生。

The healed wound had normal color with good elasticity in 45 cases . There was spotted pigment in 2 cases and scar hyperplasia in 1 case .

方法对31例小腿下段组织缺损的患者应用逆行腓肠神经营养血管皮瓣进行修复，其中慢性溃疡及疤痕增生1例、其余均为创伤所致的小腿下段及足部组织缺损。

[ Methods ] To 31 examples of tissue defect of shanks applying sural neurovascular flap , 1 example chronic ulcer and scar hyperplasia , the other all are caused by the wound .

虽然多种内外因素影响创伤愈合的结局及疤痕增生的程度，但除外科手段外，目前仍缺乏有效防治瘢痕增生的方法。

Many vivo and vitro factors influence the results of wound healing and the extent of scar formation . Except surgical operation , it is short of effective ways to prevent scar formation .

结果：与干性暴露组比较，MEBT/MEBO组治疗的面部浅Ⅱ度、深Ⅱ度和Ⅲ度烧伤创面愈合快，止痛效果好，疤痕增生不明显。

Result : Compared with dry exposed therapy , MEBT / MEBO has better efficacy in treating facial superficial and deep second degree and third degree burn wounds , the wounds healed more quickly , pain was relieved and no scar formed .

结果在42例患者中，椎间盘病变27例，先天性骨性椎管狭窄2例，椎体后缘增生骨刺2例，椎体滑脱5例，黄韧带肥厚3例，椎间盘突出术后及疤痕增生3例。

Results Among 42 cases , there were 27 of lumbar disc diseases , 2 of congenital bony narrowing of vertebral canal , 2 of hyperosteogeny at rear edge of vertebra , 5 of vertebral dislocation , 3 of pachynsis of yellow ligaments . All the patients received operative treatments .

而单纯胬肉切除者刮面多有结膜血管与疤痕组织增生现象，并有2例胬肉复发。

The proliferation of the vessels and scar tissues often occurred on the bare sclera areas of the patients only with simple pterygium excision , and recurrence was observed in 2 cases .

目的：观察湿润烧伤膏联合美宝疤痕平治疗增生性切口瘢痕的疗效。

Objective : To observe the efficacy of MEBO in combination with MEBO Scar Lotion in treating hyper-plastic incisional scar .

改善微循环，促进组织的修复，从而达到抑制和预防疤痕组织的增生及软化陈旧性疤痕的目的。

It will improve microcirculation , speed up tissue restoration , and therefore inhibit and prevent scar tissue hyperplasia as well as soften the old scares .

实验组与对照组在疤痕面积、增生性瘢痕发生率，疤痕色素沉着发生率等方面都有统计学差异。

Comparing the scar area of experimental group and the control group , we found statistical significance between the experimental groups and the control group on the incidence of hypertrophic scars , pigmentation , scar size and other aspects .

结论：新生疤痕组织中表皮再生仍很活跃，在皮肤创伤愈合过程中的重塑期，如果能够结合抑制疤痕增生的最有效治疗，这种新生疤痕组织有可能转变成正常皮肤。

Conclusion . - These results indicated that epidermal stem cells in new scar epidermis were very active and the treatment during remodeling phase was very important .