像束激光治疗烧伤患者自体皮肤移植术后瘢痕形成的疗效

摘要

Objective:To observe the clinical effect of pixel laser in burn scar treatment after autologous skin transplantation. Methods: 96 patients with postoperative scar after the treatment of autologous skin grafting were divided into treatment group and control group. Treatment group (50 cases) was treated by pixel laser with 1-1. 5 months intervals (3~6 times) , and the patients in control group (46 cases) were not given any scar treatment. Results; After the treatment of 6 months, the VSS scores in treatment group were less than those in control group(P<0. 05. P <0. 01), and life quality in all dimensions, total score of life quality and VSS score were positively associated with the treatment frequencies. With the treatment times increasing, the life quality score and VSS score of patients were increased. Conclusion:Pixel laser in treatment of burn scar of patients after autologous skin grafting was safe and reliable.%目的:观察YAG像束激光对烧伤患者自体皮肤移植术后瘢痕形成的临床效果.方法:自体皮肤移植术后瘢痕形成的烧伤患者96例,分为2组.观察组50例,间隔1～1.5个月进行1次激光像束治疗,共治疗3～6次.对照组46例,未进行过任何针对瘢痕的治疗.结果:治疗6个月后,观察组患者的瘢痕厚度、皮肤颜色偏红值及偏黄值、VSS评分均低于对照组(P＜0.05,0.01),像束激光治疗患者的治疗次数和生活质量各维度、生活质量总分、VSS评分呈正相关关系.随着治疗次数的增加,患者的生活质量评分及VSS评分均随之增加.结论:像束激光治疗自体皮肤移植术后瘢痕形成的烧伤患者,临床效果安全可靠.