皮肤外科手术中痕优化手术:一个系统性审查
Sana Kamboj1, Kehinde Raji Olumesi2, Supriya Immaneni3
1Emory University School of Medicine, Atlanta, Georgia.
概括
皮肤外科医生可以根据患者和伤口特征选择手术期间的干预措施来尽量减少手术痕. 不同的技术和材料可以改善伤口愈合和患者的满意度.
科学领域:
- 皮肤病学
- 外科瘤学
- 伤口的愈合
背景情况:
- 在皮肤手术后, 痕是常见的并发症.
- 不良痕会对患者的生活质量和满意度产生负面影响.
研究的目的:
- 建立一个选择手术内干预的框架.
- 目的是减少皮肤外科手术后的痕.
主要方法:
- 进行了全面的MEDLINE搜索.
- 关键词包括"手术痕"",痕", "痕干预"和"痕减少".
- 包括临床试验和意见稿,不包括非英语文章或不关注外科手术的文章.
主要成果:
- 接技术和材料影响痕的外观.
- 在手术期间的组织磨损 (皮肤磨损,电磨损,激光磨损) 会影响伤口的结果.
- 外源物质如肉毒素,类固醇,血小板制剂和干细胞有助于伤口愈合.
- 没有一个干预措施是普遍优越的; 选择取决于个体患者和伤口因素.
结论:
- 皮肤外科医生可以使用许多手术期间的策略.
- 优化痕结果需要根据患者和伤口的特点进行调整.
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