甲状腺术后瘢痕防治的研究进展  

Advances in post-operative thyroid scar control

作　　者：冯伟华 何宛玥 唐忠一 胡志威 李王舸 方名扬 刘培强 果磊[1] Feng Weihua;He Wanyue;Tang Zhongyi;Hu Zhiwei;Li Wangge;Fang Mingyang;Liu Peiqiang;Guo Lei(Department of Burn and Esthetic Plastic Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China)

机构地区：[1]重庆医科大学附属第一医院烧伤科/医疗美容科,重庆400042

出　　处：《中华内分泌外科杂志》2023年第4期504-507,共4页Chinese Journal of Endocrine Surgery

摘　　要：甲状腺术后瘢痕不仅会导致患处瘙痒、疼痛、牵拉,还会严重地影响患者美观,因此对甲状腺术后瘢痕防治的相关研究具有重要意义。近20年来,为缓解甲状腺术后瘢痕增生,临床医生做出了很多创新性研究,取得如下进展:其一,甲状腺手术方式及手术入路得到了一定程度的改进,做到了入路更隐蔽、创伤更小;其二,光电治疗及硅酮等药物的广泛使用,显著提升了瘢痕治疗效果;其三,“整形美容”相关理念逐渐深入人心,相关技术手段贯穿甲状腺术后瘢痕的全程治疗,在术后“早期”、“联合”使用多种治疗方式“预防”瘢痕增生,取得了事半功倍的成效。Postoperative thyroid scar not only causes itching,pain,and pulling,but also seriously affects the patient's aesthetics,so it is important to study the prevention and treatment of postoperative thyroid scar.In the past 20 years,clinicians have made many innovative researches to alleviate postoperative thyroid scar growth,and the following progresses have been made:firstly,thyroid surgery methods and surgical accesses have been improved to a certain extent,resulting in more concealed and less traumatic accesses;secondly,the use of lasers and silicone and other drugs has significantly improved the scar treatment effect;thirdly,the concept of"cosmetic"is gradually gaining popularity,and related technical means are used throughout the treatment of postoperative scarring of the thyroid gland,and multiple treatment modalities are used"early"and"in combination"to"prevent"scar growth after surgery.The use of multiple treatment modalities to prevent scar growth in the early postoperative period has achieved twice the result with half the effort.

关 键 词：甲状腺手术 瘢痕 光电治疗 硅酮 

分 类 号：R653[医药卫生—外科学]