光电技术治疗皮肤创伤性瘢痕专家共识(2018版)

摘要

Traumatic scars not only affect local appearance and function,but also may be accompanied by pain,itching,and even psychological problems,which seriously affect the quality of patients' life.The prevention and treatment of scars are still quite challengeable for plastic and cosmetic surgery.Recently,photoelectric therapy and radio-frequency technology have brought breakthroughs in the clinical prevention and treatment of traumatic scars due to the developments of theory and practice on selective photothermolysis and fractional photothermolysis.Based on the analysis and summary of experience of treatment of traumatic scars with photoelectric therapy and radiofrequency technology in the past 5 years,the experts in the Department of Plastic and Reconstructive Surgery of Shanghai Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine,together with expert consensus on treatment of scar using laser at home and abroad,organize the experts in the field of scar management from different regions in China to discuss and write the consensus on treatment of skin traumatic scars with photoelectric therapy and radio-frequency technology (2018 version).This consensus is suitable for currently medical environment in China and aimed to provide standardized protocols for the treatment of skin traumatic scars in clinic.%创伤性瘢痕不仅影响局部外观和功能,还可伴有疼痛、瘙痒、心理问题,严重影响患者生活质量.瘢痕防治仍然是困扰整形美容外科的难题.近年来,随着选择性光热作用及点阵光热作用理论和实践的发展,光电技术给创伤性瘢痕的临床防治带来了突破性进展.上海交通大学医学院附属第九人民医院整复外科专家对近5年临床瘢痕光电治疗经验进行了分析和总结,结合国内外瘢痕激光治疗专家共识,组织国内部分专家讨论并制订了适合当前我国医疗条件的光电技术治疗皮肤创伤性瘢痕专家共识(2018版),为临床使用提供参考标准.