中重度凹陷性瘢痕的治疗方法及趋势
Treatment Methods and Trends for Moderate to Severe Depressed Scars
DOI: 10.12677/ACM.2024.143740, PDF,   
作者: 武恒宇, 马志伟, 董祥林*：新疆医科大学第一附属医院整形外科，新疆 乌鲁木齐
关键词: 凹陷性瘢痕；软组织填充；外科手术；Depressed Scarring； Soft Tissue Filling； Surgery
摘要: 伴有皮下组织粘连的中重度凹陷性瘢痕的治疗方法主要包括组织填充、外科手术等。然而现有技术各自存在一定的局限性，如长时间水肿、血肿、瘀伤、结痂、色素沉着、纤维化结节、瘢痕复发等。现就临床上使用的多种有效治疗方法作一综述。
Abstract: The treatment of moderate to severe depressed scars with adhesions in the subcutaneous tissues mainly includes tissue filling, surgery, etc. However, the existing technologies have certain limita-tions, such as long-term edema, hematoma, bruising, scabbing, pigmentation, fibrotic nodules, and scar recurrence. This article reviews a variety of effective treatments used in clinical practice.
文章引用：武恒宇, 马志伟, 董祥林. 中重度凹陷性瘢痕的治疗方法及趋势[J]. 临床医学进展, 2024, 14(3): 570-574. https://doi.org/10.12677/ACM.2024.143740

参考文献

[1] 张冰, 张刚. 微等离子射频技术序贯自体脂肪颗粒移植治疗面部凹陷性瘢痕[J]. 中国医疗美容, 2022, 12(3): 18-22. [Google Scholar] [CrossRef] 
[2] Inchingolo, F., Tatullo, M., Abenavoli, F.M., Marrelli, M., Inchingolo, A.D., Corelli, R., Inchingolo, A.M. and Dipalma, G. (2011) Surgical Treatment of Depressed Scar: A Simple Technique. International Journal of Medical Sciences, 8, 377-379. [Google Scholar] [CrossRef] [PubMed]
[3] Coleman, S.R. (2001) Structural Fat Grafts: The Ideal Filler? Clinics in Plastic Surgery, 28, 111-119. [Google Scholar] [CrossRef] 
[4] Wollina, U. and Goldman, A. (2011) Hyaluronic Acid Der-mal Fillers: Safety and Efficacy for the Treatment of Wrinkles, Aging Skin, Body Sculpturing and Medical Conditions. Clinical Medicine Reviews in Therapeutics, 3, 107-121. [Google Scholar] [CrossRef] 
[5] Zerbinati, N., D’Este, E., Farina, A., Rauso, R., Cherubino, M. and Cal-ligaro, A. (2017) Morphological Evidences Following Pegylated Filler Treatment in Human Skin. Journal of Biological Regulators and Homeostatic Agents, 31, 79-85.
[6] Riccio, M., Marchesini, A., Senesi, L., Skrami, E., Gesuita, R. and De Francesco, F. (2019) Managing Pathologic Scars by Injecting Auto-Cross-Linked Hyaluronic Acid: A Preliminary Prospective Clinical Study. Aesthetic Plastic Surgery, 43, 480-489. [Google Scholar] [CrossRef] [PubMed]
[7] Rubin, J.P. (2014) Discussion: Megavolume Autologous Fat Transfer: Part I. Theory and Principles. Plastic and Reconstructive Surgery, 133, 558-560. [Google Scholar] [CrossRef] 
[8] Badin, A.Z., Gondek, L.B., Garcia, M.J., Valle, L.C., Flizikowski, F.B. and De Noronha, L. (2005) Analysis of Laser Lipolysis Effects on Human Tissue Samples Obtained from Liposuction. Aesthetic Plastic Surgery, 29, 281-286. [Google Scholar] [CrossRef] [PubMed]
[9] Zou, Y.L., Tan, X., Tian, T., Li, L., Li, Z.X., Cheng, W. and Wang, Z.X. (2019) Clinical Effect of Nano-Fat Mixed Granule Fat Transplantation in the Treatment of Cicatricial Facial Depression and Atrophy and the Related Experimental Mechanism. Chinese Journal of Burns, 35, 266-276.
[10] Ren, Z.X., Zou, Y.L., Tan, X., Chen, Z., Li, L. and Wang, Z.X. (2020) Modified Autologous Adipose Transplantation in the Treatment of Depressed Scars: An Experimental Study. American Journal of Translational Research, 12, 708-717.
[11] Cohen, S.R., Hewett, S., Ross, L., Delaunay, F., Goodacre, A., Ramos, C. Leong, T. and Saad, A. (2017) Regenerative Cells for Facial Surgery: Biofilling and Biocontouring. Aesthetic Surgery Journal, 37, S16-S32. [Google Scholar] [CrossRef] [PubMed]
[12] Huang, R., Jiao, H., Fan, J., et al. (2021) Nanofat Injection for the Treat-ment of Depressed Facial Scars. Aesthetic Plastic Surgery, 45, 1762-1771. [Google Scholar] [CrossRef] [PubMed]
[13] West, T.B. and Alster, T.S. (1998) Autologous Human Collagen and Dermal Fibroblasts for Soft Tissue Augmentation. Dermatologic Surgery, 24, 510-512. [Google Scholar] [CrossRef] [PubMed]
[14] Boss, W.K., Usal, H., Fodor, P.B. and Chernoff, G. (2000) Autologous Cultured Fibroblasts: A Protein Repair System. Annals of Plastic Surgery, 44, 536-542. [Google Scholar] [CrossRef] [PubMed]
[15] Watson, D., Keller, G.S., Lacombe, V., Fodor, P.B., Rawnsley, J. and Lask, G.P. (1999) Autologous Fibroblasts for Treatment of Facial Rhytids and Dermal Depressions. A Pilot Study. Archives of Facial Plastic Surgery, 1, 165-170. [Google Scholar] [CrossRef] [PubMed]
[16] Seok, J., Choi, S.Y., Park, K.Y., et al. (2016) Depressed Scar after Filler Injection Successfully Treated with Pneumatic Needleless Injector and Radiofrequency Device. Dermatology and Therapy, 29, 45-47. [Google Scholar] [CrossRef] [PubMed]
[17] Garg, S., Dahiya, N. and Gupta, S. (2014) Surgical Scar Revision: An Overview. Journal of Cutaneous and Aesthetic Surgery, 7, 3-13. [Google Scholar] [CrossRef] [PubMed]
[18] Roggendorf, E. (1983) The Planimetric Z-Plasty. Plastic and Re-constructive Surgery, 71, 834-842. [Google Scholar] [CrossRef] [PubMed]
[19] Rohrich, R.J. and Zbar, R.I. (1999) A Simplified Algo-rithm for the Use of Z-Plasty. Plastic and Reconstructive Surgery, 103, 1513-1517. [Google Scholar] [CrossRef] [PubMed]
[20] Rodgers, B.J., Williams, E.F. and Hove, C.R. (2001) W-Plasty and Geometric Broken Line Closure. Facial Plastic Surgery, 17, 239-244. [Google Scholar] [CrossRef] [PubMed]
[21] Shockley, W.W. (2011) Scar Revision Techniques: Z-Plasty, W-Plasty, and Geometric Broken Line Closure. Facial Plastic Surgery Clinics of North America, 19, 455-463. [Google Scholar] [CrossRef] [PubMed]

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