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减张缝合在瘢痕切除术中的研究进展
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Abstract:
瘢痕是对各种外伤后所造成的正常人肌肤组织的外表形状和组织病理学变化的总称，更是机体在损伤恢复过程中所不可避免的产物。瘢痕修复一直是整形外科面临的最具挑战的问题。瘢痕的处理可分两个方面，手术治疗和非手术治疗，非手术治疗方式较多，手术治疗大多是瘢痕切除缝合术，缝合术又分为传统的瘢痕切除缝合与近些年流行的减张缝合术，减张缝合技术在近些年的临床实践中取得了良好的成效。本文通过阐述张力对瘢痕形成的影响机制及减张缝合技术在瘢痕切除中的应用成效，进而拓展出减张缝合技术对术后瘢痕的影响效果，旨在为瘢痕修复的临床研究提供可靠的理论依据和缝合方法新观念。
Scar is a general term for the appearance and histopathological changes of normal human skin tissue caused by various traumas, and it is an inevitable product of the body in the process of injury recovery. Scar repair has always been the most challenging problem facing by plastic surgery. Scar treatment can be divided into two aspects: surgical treatment and non-surgical treatment. There are many non-surgical treatments. Surgical treatment is mostly scar resection and suture. Suture is divided into traditional scar resection and suture and the popular tension reduction in recent years. Suture tension suture technology has achieved good results in clinical practice in recent years. This article elaborates on the mechanism of tension on scar formation and the application effect of tension-reducing suture technique in scar resection, and then expands the effect of tension-reducing suture technique on postoperative scar, aiming to provide a reliable theoretical basis and new concept of suture method for clinical research of scar repair.
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