<br>持续张力减少技术在面部疤痕治疗中的应用：W 型整形术和直线闭合术对亚洲患者美观效果的比较,International Wound Journal

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持续张力减少技术在面部疤痕治疗中的应用：W 型整形术和直线闭合术对亚洲患者美观效果的比较
International Wound Journal ( IF 2.6 ) Pub Date : 2021-10-15 , DOI: 10.1111/iwj.13702
Danying Wang ₁ , Jinping Ding ₂ , Yongkang Jiang ₃ , Yuanbo Liu ₁ , Bo Chen ₁

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W-整形术是一种非常流行的疤痕切除修复技术。该技术的核心是将疤痕边缘分解成小的三角形成分，从而引起光散射，使疤痕不那么明显。然而，由于皮肤张力，面部切口疤痕容易扩散。单纯应用W整形术并不能达到理想的面部疤痕修复效果。在这项研究中，我们提出了一种结合 W 整形术和连续张力降低 (CTR) 技术的疤痕修复技术，以改善面部疤痕的外观。这项回顾性研究纳入了 60 名面部疤痕患者。在随访前和 12 个月随访时使用疤痕量表独立评估疤痕。临床结果显示，在 12 个月的随访中，不同组之间的疤痕外观存在显着差异。在 12 个月的随访中，W 整形术和 CTR 组的温哥华疤痕量表 (VSS)、视觉模拟量表 (VAS) 评分和患者满意度显着优于其他组。没有报告严重并发症。张力卸载装置的应用提供了一个不断降低张力的环境，可以大大降低手术切口的张力。与 W 整形术相结合，该技术可以显着改善疤痕的美观。

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Continuous tension reduction technique in facial scar management: A comparison of W-plasty and straight-line closure on aesthetic effects in Asian patients

W-plasty is a very popular scar excisional revision technique. The core of the technique is to break up the scar margins into small triangular components, so as to cause light scattering and make the scar less noticeable. However, due to skin tension, facial incision scars tend to spread. Applying W-plasty alone cannot achieve the ideal repair effect of facial scars. In this study, we proposed a scar revision technique combined W-plasty with continuous tension-reduction (CTR) technique to improve the appearance of facial scars. Sixty patients with facial scar were comprised in this retrospective study. Scars were assessed independently using the scar scale before and at 12-month follow-up. Clinical results showed a significant difference in scar appearance between different groups at 12-month follow-up. Vancouver scar scale (VSS), visual analogue scale (VAS) scores, and patient satisfaction were significant better in W-plasty and CTR than other groups at 12-month follow-up. No severe complications were reported. The application of the tension offloading device provides an environment where the tension is continuously reduced, which could greatly decrease tension on the surgical incision. Combined with W-plasty, this technique could significantly improve the scar's aesthetic appearance.

更新日期：2021-10-15

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