CO_(2)激光配合环钻术对剖宫产瘢痕患者疼痛及美观性的影响  

Effect of CO_(2)Laser Combined with Trephination on Pain and Aesthetics of Patients with Caesarean Section Scar

作　　者：陈志军 孟红阳 肖益伟 张新合 CHEN Zhijun;MENG Hongyang;XIAO Yiwei;ZHANG Xinhe(The 73rd Group Military Hospital of the Chinese People's Liberation Army,Xiamen 361000,China;不详)

机构地区：[1]中国人民解放军陆军第七十三集团军医院,福建厦门361000

出　　处：《中外医学研究》2025年第10期124-127,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨CO_(2)激光配合环钻术对剖宫产瘢痕患者疼痛及美观性的影响。方法:选取2022年2月—2024年2月中国人民解放军陆军第七十三集团军医院接受瘢痕修复的86例剖宫产术后患者,使用抛币法将其随机分为参照组和科研组,参照组43例患者选择CO_(2)激光进行瘢痕修复,科研组43例患者给予CO_(2)激光配合使用环钻术进行瘢痕修复。对比两组瘢痕修复效果[温哥华瘢痕评估量表(VSS)]、疼痛感[视觉模拟评分法(VAS)]及美观性[瘢痕外观评估量表(OSAS)]。结果:科研组瘢痕修复总有效率为95.35%,高于参照组的79.07%,差异有统计学意义(P<0.05)。科研组治疗后1个月、3个月VSS评分明显低于参照组,差异有统计学意义(P<0.05)。科研组治疗后1个月、3个月的OSAS评分明显高于参照组,差异有统计学意义(P<0.05)。治疗后1个月,两组VAS评分均明显下降,科研组VAS评分明显低于参照组,差异有统计学意义(P<0.05)。结论:CO_(2)激光配合环钻术应用于剖宫产瘢痕患者不仅有助于提升瘢痕修复率,减轻疼痛感,还能提高美观性。Objective:To investigate the effect of CO_(2)laser combined with trephination on pain and aesthetics of patients with caesarean section scar.Method:A total of 86 patients who underwent scar repair after cesarean section in the 73rd Group Military Hospital of the Chinese People's Liberation Army from February 2022 to February 2024 were selected and randomly divided into the reference group and the scientific research group by coin flipping method.43 patients in the reference group underwent scar repair by CO_(2)laser.The 43 patients in the scientific research group underwent scar repair by CO_(2)laser combined with trephination.The effect of scar repair[Vancouver scar assessment scale(VSS)],pain[visual analogue scale(VAS)]and aesthetics[observer scar assessment scale(OSAS)]were compared between the two groups.Result:The total effective rate of scar repair in the scientific research group was 95.35%,which was higher than 79.07%in the reference group,and the difference was statistically significant(P<0.05).The VSS score of the scientific research group at 1 month and 3 months after treatment was significantly lower than that of the reference group,and the differences were statistically significant(P<0.05).OSAS scores in the scientific research group were significantly higher than those in the reference group at 1 month and 3 months after treatment,and the differences were statistically significant(P<0.05).One month after treatment,the VAS score of both groups decreased significantly,and the VAS score of the scientific research group was significantly lower than that of the reference group,the differences were statistically significant(P<0.05).Conclusion:The application of CO_(2)laser combined with trephination in patients with cesarean section scar not only helps to improve the repair rate of scar,reduce pain,but also improves aesthetics.

关 键 词：CO_(2)激光 环钻术 剖宫产 疼痛感 美观性 

分 类 号：R719.8[医药卫生—妇产科学]