皮能快愈敷料应用于瘢痕整形21例

摘要

目的 探讨皮能快愈敷料治疗瘢痕整形的临床疗效.方法 42例瘢痕整形患者, 根据随机数字法分为对照组(自体中厚皮片移植修复治疗, 21例)和观察组(皮能快愈敷料及自体刃厚皮覆盖治疗, 21例).对两组皮片成活时间, 受区皮肤弹性、色泽等情况以及供区愈合时间、供区色素沉着及瘢痕形成情况, 创面疼痛评分(VAS)及瘢痕挛缩畸形率进行观察和比较.结果 与对照组相比, 观察组供区愈合时间明显缩短, 创面疼痛评分和瘢痕挛缩畸形率均显著降低, 供区色素沉着相对较轻, 瘢痕形成不明显, 差异有统计学意义(P<0.05), 并且受区皮肤弹性和外观均恢复良好状态, 但是皮片成活时间相对较长.结论 皮能快愈敷料能够明显改善瘢痕区域的外观和功能, 是目前较为理想的瘢痕修复方式.%Objective To investigate the clinical effect of Pelnac in the treatment of scar repair. Methods A total of 42 scar repair patients were divided by random number table into control group (autologous split-thickness skin flap transplantation repair, 21 cases) and observation group (Pelnac and autologous epidermal skin flap coverage, 21 cases). Observation and comparison were made on skin flap survival time, skin elasticity and color in operation area, healing time, chromatosis and scar in donor area, visual analogue scale (VAS) and scar contracture malformation rate.Results Compared with the control group, the observation group had much shorter healing time in donor area, lower VAS score and scar contracture malformation rate, and slighter chromatosis in donor area and scar appearance. Their difference had statistical significance (P<0.05). Skin elasticity and appearance in operation area had good recovery in the observation group, while it had longer skin flap survival time. Conclusion Pelnac can remarkably improve appearance and function of scar area, and it is the ideal method for scar repair.