皮肤瘢痕治疗的研究进展与临床应用
Advances in the Treatment and Clinical Application of Skin Scars
摘要: 皮肤瘢痕是创伤修复过程中常见的病理性改变,其形成机制复杂,严重影响患者的外观、功能及心理健康。随着医学技术的进步,多种治疗方法应运而生,包括光电治疗、药物干预、手术治疗及联合治疗策略等。本文基于近年相关研究,系统梳理皮肤瘢痕的主要治疗方法,分析其作用机制、临床疗效及适用场景,结合循证医学证据探讨不同疗法的优势与局限,为瘢痕的个体化精准治疗提供理论依据与实践参考。
Abstract: Skin scarring is a common pathological change during the process of wound healing. Its formation mechanism is complex and significantly affects the appearance, function, and mental health of patients. With the advancement of medical technology, various treatment methods have emerged, including phototherapy, pharmacological intervention, surgical treatment, and combined treatment strategies. Based on recent related studies, this article systematically reviews the main treatment methods for skin scars, and deeply analyzes their mechanisms of action, clinical efficacy, and applicable scenarios. It also discusses the advantages and limitations of different therapies in conjunction with evidence-based medical evidence, providing a theoretical basis and practical reference for the individualized and precise treatment of scars.
文章引用:刘金帅. 皮肤瘢痕治疗的研究进展与临床应用[J]. 临床医学进展, 2025, 15(5): 2746-2750. https://doi.org/10.12677/acm.2025.1551673

参考文献

[1] 姜筱唐, 邱晓圆, 杨琪, 等. 曲安奈德联合595nm脉冲染料激光治疗术后早期切口增生性瘢痕效果[J]. 青岛大学学报(医学版), 2024, 60(4): 557-560.
[2] 陈怡, 农晓琳. 皮肤瘢痕的光电治疗应用及研究进展[J]. 临床皮肤科杂志, 2020, 49(11): 696-700.
[3] 蔡宏, 王毅侠, 张玉宝, 等. 激光技术对创伤后皮肤瘢痕的康复治疗[J]. 中国美容整形外科杂志, 2018, 29(3): 129-132.
[4] 谭军. 点阵CO2激光辅助的增生性瘢痕的皮肤再生修复[J]. 中国医疗美容, 2021, 11(8): 1-8.
[5] 庄慈妹, 孙澍彬, 王彤, 等. 硅凝胶联合超脉冲CO2点阵激光术对剖宫产术后皮肤瘢痕的预防及治疗效果[J]. 临床和实验医学杂志, 2021, 20(5): 536-540.
[6] 刘晓燕. 瘢痕治疗的策略回顾及进展[J]. 中国美容整形外科杂志, 2016, 27(11): 641-644.
[7] 钱欢, 郑敏. 1540 nm非剥脱点阵激光治疗亚洲人皮肤瘢痕的临床研究[J]. 中国美容医学, 2014, 23(14): 1170-1173.
[8] 赵玉梅, 黄熙, 杨凤元. 点阵激光联合其他治疗方法在皮肤美容中的应用进展[J]. 中国美容医学, 2016, 25(12): 113-116.
[9] 齐瑞雪. 三种光电技术治疗瘢痕的临床疗效观察与分析[D]: [硕士学位论文]. 郑州: 郑州大学, 2021.
[10] 林伟鹏, 廖智鹏, 李雪儿, 等. 单纯曲安奈德与曲安奈德联合CO2点阵激光治疗增生性瘢痕Meta分析[J]. 岭南急诊医学杂志, 2024, 29(3): 262-265.
[11] 郎劲松, 于晶晶, 于园园, 等. 增生性皮肤瘢痕术后不同时段放疗的疗效对比分析[J]. 中国医药指南, 2017, 15(3): 81-82.
[12] 闫艺之, 姜佳霖, 张国林, 等. 瘢痕疙瘩的临床治疗最新探索[J]. 中国美容医学, 2016, 25(6): 34-37.