Treatment of Surgical Scars with Fractional Carbon Dioxide (CO2) Laser: A Randomized Controlled Trial.

IF 5.8 3区 医学 Q1 DERMATOLOGY
Liang Chen, Han Xu, Qiu Yu Wang, Peng Chen, Lin Qi Wang, Xiao Ming Qin
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引用次数: 0

Abstract

Object: The aim of this study was to compare the long-term effects of fractional carbon dioxide (CO2) laser treatment with traditional therapy on surgical scars by analyzing and comparing observational indicators. Approach: A randomized controlled trial was conducted on 116 patients who received scar treatment in our hospital, of which 58 patients received fractional CO2 laser treatment, and 58 patients received injection treatment. The outcome measures comprised the Vancouver Scar Scale (VSS) and the Patient and Observer Scar Assessment Scale (POSAS). The observation intervals occur at specific times. Evaluated at 6 months of follow-up, the outcome was blinded, on-site evaluation using the dermatological appearance scale (DAS) and visual analog scale (VAS). Results: Patients in the fractional carbon-dioxide laser (CO2FL) group rated better than those in the injection group in the POSAS, VSS, DAS, and VAS scores (p < 0.05). The therapeutic efficacy and patients' satisfaction of the research group were superior to those in the control group. Innovation: Scars following surgical procedures can be treated in a variety of methods, but there is no consensus on the best method. CO2FL has exhibited safety and is more effective than traditional injection treatments for surgical scars. It is a worthwhile approach to consider in clinical treatment. Conclusions: This study demonstrates that CO2FL achieves more significant long-term results in surgical scars, including improved scar appearance, safety, and patient satisfaction.

分数二氧化碳激光治疗手术疤痕:一项随机对照试验。
目的:通过对观察指标的分析比较,比较CO2激光治疗与传统治疗对外科瘢痕的远期疗效。方法:对116例在我院接受瘢痕治疗的患者进行随机对照试验,其中58例采用CO2激光分次治疗,58例采用注射治疗。结果测量包括温哥华疤痕量表(VSS)和患者和观察者疤痕评估量表(POSAS)。观察间隔发生在特定的时间。随访6个月,采用盲法,采用皮肤外观量表(DAS)和视觉模拟量表(VAS)进行现场评价。结果:CO2FL组患者的POSAS、VSS、DAS、VAS评分均优于注射组(p < 0.05)。研究组的治疗效果和患者满意度均优于对照组。创新:外科手术后的疤痕可以用多种方法治疗,但对最佳方法尚无共识。CO2FL已显示出安全性,并且比传统的注射治疗手术疤痕更有效。这是临床治疗中值得考虑的一种方法。结论:本研究表明,CO2FL治疗手术疤痕取得了更显著的长期效果,包括改善疤痕外观、安全性和患者满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in wound care
Advances in wound care Medicine-Emergency Medicine
CiteScore
12.10
自引率
4.10%
发文量
62
期刊介绍: Advances in Wound Care rapidly shares research from bench to bedside, with wound care applications for burns, major trauma, blast injuries, surgery, and diabetic ulcers. The Journal provides a critical, peer-reviewed forum for the field of tissue injury and repair, with an emphasis on acute and chronic wounds. Advances in Wound Care explores novel research approaches and practices to deliver the latest scientific discoveries and developments. Advances in Wound Care coverage includes: Skin bioengineering, Skin and tissue regeneration, Acute, chronic, and complex wounds, Dressings, Anti-scar strategies, Inflammation, Burns and healing, Biofilm, Oxygen and angiogenesis, Critical limb ischemia, Military wound care, New devices and technologies.
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