摘要
目的 评价抬升联合悬吊术治疗箱车型痤疮瘢痕的临床效果.方法 纳入2024年1月至5月就诊于南方医科大学皮肤病医院的箱车型痤疮瘢痕患者共7例,采用自身半脸对照,一侧部位仅行抬升术治疗(抬升组),另一侧部位行抬升术后联合悬吊术治疗(联合组).治疗后1个月,比较两组患者的痤疮瘢痕改善程度,并进行疗效评价.结果 治疗前,两组患者痤疮瘢痕严重程度视觉模拟评分量表(VAS)的患者自评分(联合组:8.54±0.76,抬升组:8.36±0.57,t=-0.52,P=0.614)和医生评分(联合组:8.39±0.99,抬升组:7.96±0.54,t=-1.00,P=0.336)差异无统计学意义.治疗后1个月,联合组患者的自评瘢痕改善程度优于抬升组,差异有统计学意义(6.21±1.01比3.40±0.69,t=5.97,P=0.001),医生评分瘢痕改善程度同样优于抬升组,差异有统计学意义(5.96±1.16比3.40±0.96,t=4.69.P=0.003).联合组的患者自评疗效及医生评价疗效均高于抬升组,差异均有统计学意义(均P＜0.01).两组患者均未发生明显不良反应.结论 抬升联合悬吊术与抬升术治疗箱车型痤疮瘢痕均可取得良好的治疗效果,前者效果更优.
Abstract
Objective To evaluate the clinical efficacy of elevation combined with suspension technique in the treatment of boxcar acne scars.Methods This split-face self-controlled study in-cluded 7 patients with boxcar acne scars who were treated at the Dermatology Hospital of Southern Medical University between January and May 2024.One side of patients'face received only eleva-tion treatment(the elevation group),while the other side received elevation surgery followed by suspension surgery(the combined group).The extent of improvement in scar was compared be-tween the two groups one month after the treatment.Results At baseline,neither patient self-as-sessment scores of VAS nor physician assessment scores differed significantly between the two groups(VAS:8.54±0.76 vs.8.36±0.57,t=-0.52,P=0.614;physician assessment scores:8.39±0.99 vs.7.96±0.54,t=-1.00,P=0.336).One month after the treatment,more significant reductions in both patient self-assessment scores of VAS and physician assessment scores were observed in the group of combination therapy than in that of elevation alone(VAS:6.21±1.01 vs.3.40±0.69,t=5.97,P=0.001;physician assessment scores:5.96±1.16 vs.3.40±0.96,t=4.69,P=0.003).Moreover,both patient self-assessed efficacy and physi-cian-evaluated efficacy were higher in the combination group than in the elevation group(both P＜0.01).No significant adverse reactions were observed in either group.Conclusion:Although ei-ther combination of elevation and suspension methods or elevation alone is effective for boxcar acne scars,the former displays superior efficacy.
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