瘢痕疙瘩的5大特点以及5大治疗原则

2022-07-13 雷田兵 雷田兵

瘢痕疙瘩的治疗为国际性难题,没有明确的根治方法。很多严重的瘢痕疙瘩,都是由于不适当的手术或者治疗不当引起。

瘢痕疙瘩的治疗为国际性难题,没有明确的根治方法。很多严重的瘢痕疙瘩,都是由于不适当的手术或者治疗不当引起。

一、定义

继发于皮肤损伤后,以胶原过度沉积 、超出最初损伤边缘呈浸润性生长、具有持续性、强大增生力为特点的真皮纤维化疾病。

二、五大特点

1.浸润性生长:向周围正常组织发生浸润,超过受损伤的原有病变范围。

2.持续性生长:无自愈及自行消退倾向。

3.易复发性:单纯切除后易复发,停止瘢痕内药物注射后又长大。

4.好发部位:胸部、肩背部、上臂、郃颈部、耳垂、耻骨区、关节等处(高张力部位)。

5.临床表现:红、硬、高起、痒、痛不适,重者可以继发畸形及功能障碍。

三 、治疗原则

2018年版中国瘢痕疙瘩治疗指南以16岁为儿童和成人治疗年龄分界线。

儿童瘢痕疙瘩

图片

2

成人瘢痕疙瘩

图片
图片
图片
图片
图片

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2115488, encodeId=3cb221154883a, content=学习知识了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=b4aa8440342, createdName=ms6000000013039699, createdTime=Mon Feb 20 10:29:29 CST 2023, time=2023-02-20, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=1967799, encodeId=dbe2196e799a4, content=<a href='/topic/show?id=c905e1228d9' target=_blank style='color:#2F92EE;'>#瘢痕疙瘩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71228, encryptionId=c905e1228d9, topicName=瘢痕疙瘩)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6779163, createdName=liuhuangbo, createdTime=Tue Jun 20 07:59:13 CST 2023, time=2023-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1337009, encodeId=3bb8133e0097e, content=<a href='/topic/show?id=48f8e12220f' target=_blank style='color:#2F92EE;'>#瘢痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575989, encodeId=f00915e59895d, content=<a href='/topic/show?id=4da864592ee' target=_blank style='color:#2F92EE;'>#治疗原则#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64592, encryptionId=4da864592ee, topicName=治疗原则)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bb016261327, createdName=chshh82, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=)]
    2023-02-20 ms6000000013039699 来自河北省

    学习知识了,谢谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2115488, encodeId=3cb221154883a, content=学习知识了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=b4aa8440342, createdName=ms6000000013039699, createdTime=Mon Feb 20 10:29:29 CST 2023, time=2023-02-20, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=1967799, encodeId=dbe2196e799a4, content=<a href='/topic/show?id=c905e1228d9' target=_blank style='color:#2F92EE;'>#瘢痕疙瘩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71228, encryptionId=c905e1228d9, topicName=瘢痕疙瘩)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6779163, createdName=liuhuangbo, createdTime=Tue Jun 20 07:59:13 CST 2023, time=2023-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1337009, encodeId=3bb8133e0097e, content=<a href='/topic/show?id=48f8e12220f' target=_blank style='color:#2F92EE;'>#瘢痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575989, encodeId=f00915e59895d, content=<a href='/topic/show?id=4da864592ee' target=_blank style='color:#2F92EE;'>#治疗原则#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64592, encryptionId=4da864592ee, topicName=治疗原则)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bb016261327, createdName=chshh82, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2115488, encodeId=3cb221154883a, content=学习知识了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=b4aa8440342, createdName=ms6000000013039699, createdTime=Mon Feb 20 10:29:29 CST 2023, time=2023-02-20, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=1967799, encodeId=dbe2196e799a4, content=<a href='/topic/show?id=c905e1228d9' target=_blank style='color:#2F92EE;'>#瘢痕疙瘩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71228, encryptionId=c905e1228d9, topicName=瘢痕疙瘩)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6779163, createdName=liuhuangbo, createdTime=Tue Jun 20 07:59:13 CST 2023, time=2023-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1337009, encodeId=3bb8133e0097e, content=<a href='/topic/show?id=48f8e12220f' target=_blank style='color:#2F92EE;'>#瘢痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575989, encodeId=f00915e59895d, content=<a href='/topic/show?id=4da864592ee' target=_blank style='color:#2F92EE;'>#治疗原则#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64592, encryptionId=4da864592ee, topicName=治疗原则)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bb016261327, createdName=chshh82, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=2115488, encodeId=3cb221154883a, content=学习知识了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=b4aa8440342, createdName=ms6000000013039699, createdTime=Mon Feb 20 10:29:29 CST 2023, time=2023-02-20, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=1967799, encodeId=dbe2196e799a4, content=<a href='/topic/show?id=c905e1228d9' target=_blank style='color:#2F92EE;'>#瘢痕疙瘩#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71228, encryptionId=c905e1228d9, topicName=瘢痕疙瘩)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6779163, createdName=liuhuangbo, createdTime=Tue Jun 20 07:59:13 CST 2023, time=2023-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1337009, encodeId=3bb8133e0097e, content=<a href='/topic/show?id=48f8e12220f' target=_blank style='color:#2F92EE;'>#瘢痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575989, encodeId=f00915e59895d, content=<a href='/topic/show?id=4da864592ee' target=_blank style='color:#2F92EE;'>#治疗原则#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64592, encryptionId=4da864592ee, topicName=治疗原则)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bb016261327, createdName=chshh82, createdTime=Wed Jul 13 06:59:13 CST 2022, time=2022-07-13, status=1, ipAttribution=)]

相关资讯

二氧化碳激光点阵激光治疗红色杜洛克猪模型中厚层皮肤移植物挛缩的有效性和安全性

二氧化碳点阵激光在分层植皮后的疤痕管理中发挥着重要作用,它可以松解植皮挛缩,恢复表面的光滑度。

Orthopedics:切口愈合瘢痕更小,外观更好,可以选择皮肤粘结胶带

皮肤粘结胶带通常用于促进皮肤伤口的闭合和轻微裂伤。最近,组织粘合剂,如2-氰基丙烯酸辛酯,因其高抗拉强度,具有抑菌特性和,并可自发脱落而备受欢迎。

Photodermatol Photoimmunol Photomed:血浆凝胶联合点阵式二氧化碳激光可有效治疗痤疮所致的瘢痕

寻常性痤疮所致的萎缩性痤疮后瘢痕往往永久且难治疗的。萎缩性痤疮后瘢痕的发病率高,对生活质量影响很大,对皮肤科医生来说也是一个治疗上的挑战。

Lasers Med Sci:剥脱性和非剥脱性激光都可有效改善萎缩性痤疮瘢痕

寻常痤疮是一种慢性顽固的皮肤炎症,在青少年甚至成年人中的发病率很高。痤疮疤痕是一种常见的美容并发症,可能会给患者带来生理和心理压力,影响患者的生活质量。

Aesthet Surg J:注射TSVF可促进早期伤口愈合,减少疤痕形成

伤口愈合和疤痕形成取决于多种因素。鉴于异常疤痕形成的影响,旨在改善疤痕形成的干预措施将是最有利的。脂肪组织的组织基质血管部分(TSVF)是由嵌入细胞外基质的细胞的异质混合物组成。

Aesthet Surg J:面部手术后立即长期使用组织胶水可有效减小疤痕体积

手术后疤痕的形成,尤其是疤痕外观的美容问题,是患者和临床医生关注的地方,大大影响病人的满意度。然而,可靠的皮肤支持方案是有限的。