Hypertrophic scar - 肥厚性瘢痕
肥厚性瘢痕 (Hypertrophic scar) — 4 个月后
relevance score : -100.0%
ReferencesHypertrophic scarring 是一种伤口愈合异常的类型。它常常与疤痕疙瘩混淆，但两者并不相同。在增生性疤痕中，额外的组织仅在原始伤口范围内形成；而疤痕疙瘩则会向伤口边界之外扩展。
Hypertrophic scarring represents an undesirable variant in the wound healing process. Another variant of wound healing, the keloid scar, is often used interchangeably with hypertrophic scarring, but this is incorrect. The excess connective tissue deposited in hypertrophic scarring is restricted to the area within the original wound. The excess connective tissue deposited in the keloid, however, extends beyond the area of the original wound.
Hypertrophic scarring represents an undesirable variant in the wound healing process. Another variant of wound healing, the keloid scar, is often used interchangeably with hypertrophic scarring, but this is incorrect. The excess connective tissue deposited in hypertrophic scarring is restricted to the area within the original wound. The excess connective tissue deposited in the keloid, however, extends beyond the area of the original wound.
作为愈合过程的一部分，受伤后通常会留下疤痕。理想情况下，疤痕应平坦、狭窄，并与肤色相匹配。感染、血流受限和创伤等多种因素会减慢愈合速度。凸起、变黑或收紧的疤痕可能导致功能和情感问题。
Scars are a natural and normal part of healing following an injury to the integumentary system. Ideally, scars should be flat, narrow, and color-matched. Several factors can contribute to poor wound healing. These include but are not limited to infection, poor blood flow, ischemia, and trauma. Proliferative, hyperpigmented, or contracted scars can cause serious problems with both function and emotional well-being.
Scars are a natural and normal part of healing following an injury to the integumentary system. Ideally, scars should be flat, narrow, and color-matched. Several factors can contribute to poor wound healing. These include but are not limited to infection, poor blood flow, ischemia, and trauma. Proliferative, hyperpigmented, or contracted scars can cause serious problems with both function and emotional well-being.
肥厚性瘢痕 (hypertrophic scar) 呈红色且较厚，可能伴有瘙痒或疼痛。肥厚性瘢痕不会超出原始伤口的边界，但可能在六个月内持续增厚。肥厚性瘢痕通常在一到两年内逐渐改善，但因外观或瘙痒强度可能导致患者困扰。若疤痕靠近关节，还可能限制活动。
持续的肥厚性瘢痕可通过注射皮质类固醇治疗。
○ 治疗
每隔1个月进行5至10次病灶内类固醇注射，可改善肥厚性瘢痕。
#Triamcinolone intralesional injection
可尝试激光治疗疤痕相关的红斑，注射曲安西龙亦可通过压平疤痕来改善红斑。
#Dye laser (e.g. V-beam)