瘢痕疙瘩的临床分类方法研究  

The clinical classification method research of keloid

作　　者：马继光 蔡景龙 宗宪磊 吴军成 刘振中[3] 刘肃[4] 孙玉生[5] 张志华[6] 

机构地区：[1]中国医学科学院整形外科医院七科,北京100144 [2]中国医学科学院整形外科医院瘢痕综合治疗中心,北京100144 [3]山东大学第二医院整形外科 [4]青岛大学医学院附属医院整形外科 [5]济南市第四人民医院整形外科 [6]济宁市第一人民医院烧伤整形科

出　　处：《中华整形外科杂志》2013年第6期422-427,共6页Chinese Journal of Plastic Surgery

基　　金：北京市自然科学基金（7122138）;中国医学科学院整形外科医院院所基金重大项目（5201010402）

摘　　要：目的探讨瘢痕疙瘩的临床分类方法，为瘢痕疙瘩的治疗提供思路。方法总结2004年11月至2012年10月收治的600例瘢痕疙瘩患者的资料，填写患者信息表，照片记录瘢痕疙瘩的形态，分析其治疗方法，提出瘢痕疙瘩的临床分类方法。结果根据瘢痕疙瘩发生的部位、数量，将瘢痕疙瘩患者分为单部位单发、多部位单发、单部位多发及多部位多发4大类；根据面积和厚度，将瘢痕疙瘩单发病变分为小面积薄型、小面积厚型、大面积薄型及大面积厚型4个亚类；根据病变数量，将瘢痕疙瘩多发病变分为孤立多发和弥散多发2个亚类。不同的类型适合选择不同的方法进行治疗。结论瘢痕疙瘩的这一临床分类方法，可以为瘢痕疙瘩的治疗提供思路，有较好的应用价值。Objective To explore the clinical classification method of keloids and providing a thread for the treatment of keloids. Methods To summarize the 600 cases of keloid patients we accepted and diagnosed from November 2004 to October 2012, and filling in keloid patients information sheet, recording the keloids form by photographs, analyzing the treatment, putting forward the classification method of keloids in clinic. Results According to the position and quantity that keloids grow, the keloid patients are divided into four major categories： one in single site, one in each site, more than one in single site and more than one in each site ; According to the area and thickness of keloids, the keloid single lesion is divided into four subclasses ： type of small area and thin, type of small area and thick, type of large areas and thin,type of large areas and thick; According to the number of lesions, keloid multiple lesions is divided into two subgenera： isolated multiple and dispersion multiple, different kinds of keloids suit different methods of treatment. Conclusion The clinical classification method of keloids can he used to provide thought for the treatment of keloids, and have a good application value.

关 键 词：瘢痕疙瘩 分类法 治疗 临床研究性 

分 类 号：R622[医药卫生—整形外科]