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疤痕貼美容膠真的有用嗎?
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plasticsuper
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註冊時間: 2005-08-04
文章: 623
來自: 台北

發表 發表於: 星期一 十一月 14, 2005 10:31 am
發表 文章主題: 疤痕貼美容膠真的有用嗎?
引言回覆

很多醫師做完手術後並不是很關心病人術後疤痕的問題,除了整形外科醫師以外。

手術拆線完之後,貼美容膠倒底有沒有用呢?若是有用的話應該貼多久?

以下這篇澳洲布里斯班的研究為我們做了實驗


Author Atkinson, Jo-An et al

Institution Queensland, Australia

Title A Randomized, Controlled Trial to Determine the Efficacy of Paper Tape in Preventing Hypertrophic Scar Formation in Surgical Incisions that Traverse Langer's Skin Tension Lines.

Source Plastic & Reconstructive Surgery. 116(6):1648-1656, November 2005.

Abstract
Background: How a scar is managed postoperatively influences its cosmetic outcome. After suture removal, scars are susceptible to skin tension, which may be the trigger for hypertrophic scarring. Paper tape to support the scar may reduce multidirectional forces and prevent hypertrophic scarring.

Methods: Seventy patients who had undergone cesarean section at the Royal Brisbane and Women's Hospital were randomized to treatment and control groups. Patients in the control group received no postoperative intervention. Patients in the treatment group applied paper tape to their scars for 12 weeks. Scars were assessed at 6 weeks, 12 weeks, and 6 months after surgery using ultrasound to measure intradermal scar volume. Scars were also assessed using the International Clinical Recommendations.

Results: Paper tape significantly decreased scar volume by a mean of 0.16 cm3, (95 percent confidence interval, 0.00 to 0.29 cm3). At 12 weeks after surgery, 41 percent of the control group developed hypertrophic scars compared with none in the treatment group (exact test, p = 0.003). In the treatment group, one patient developed a hypertrophic scar and four developed stretched scars only after the tape was removed. The odds of developing a hypertrophic scar were 13.6 times greater in the control than in the treatment group (95 percent confidence interval, 3.6 to 66.9). Of the 70 patients randomized, 39 completed the study. Four patients in the treatment group developed a localized red rash beneath the tape. These reactions were minor and transient and resolved without medical intervention.

Conclusions: The development of hypertrophic and stretched scars in the treatment group only after the tape was removed suggests that tension acting on a scar is the trigger for hypertrophic scarring. Paper tape is likely to be an effective modality for the prevention of hypertrophic scarring through its ability to eliminate scar tension.

簡單的結論即是: 術後貼美容膠的確可以減少疤痕增生的情形。不貼的話疤痕增生的機會會增加14倍。美容膠最好貼3個月左右。

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