皮肤磨削术治疗面部萎缩性瘢痕48例  

Dermabrasion on Facial Atrophic Scars in 48 Cases

作　　者：李占国[1] 陈燕辉 郭金梅[1] 王娟鹏 李敏[1] 夏永华[1] 

机构地区：[1]新乡医学院第一附属医院皮肤科,河南卫辉453100 [2]河南省郑州市人民医院,河南郑州450000 [3]河南省巩义市人民医院,河南巩义451250

出　　处：《中国临床医学》2012年第1期75-76,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨皮肤磨削术治疗面部萎缩性瘢痕的临床价值。方法:48例患者在面部神经阻滞或皮下浸润麻醉下用牙科台钻带动砂轮,以8000～10000 r/min的速度在面部皮肤瘢痕区进行磨削,术后加压包扎。结果:总有效率为100%,本手术对水痘、带状疱疹、寻常性痤疮等形成的凹状瘢痕有显著疗效,主要并发症为色素沉着(31.25%)。结论:皮肤磨削术是治疗面部萎缩性瘢痕的有效方法,只要严格掌握适应证,就能够取得良好的治疗效果。To evaluate the efficacy of dermabrasion in the treatment of facial atrophic scars. Methods： A total of 48 patients with facial atrophic scars were treated with dermabrasion under nerve block or local infiltration anesthesia. Diamond driving wheel dental drill was used at a speed of 8000-10000 r/min. The wounds were dressed under presure after operation. Results： The total effective rate was 100%. The results showed that patients with facial pitted acne scars, small pox, varicella and zona had better outcomes. The most common complication was pigment deposition（31.25%）. Conclusions： Dermabrasion is a good way to treat facial atrophic scars.

关 键 词：皮肤磨削术 萎缩性瘢痕 牙科台钻 

分 类 号：R751[医药卫生—皮肤病学与性病学]