王小影　吴文艺　王朝阳福建医科大学附属第二医院医疗美容科，福建泉州　362000

超声波联合复方丹参霜治疗面颈部浅表凹陷性瘢痕的研究

王小影吴文艺王朝阳
福建医科大学附属第二医院医疗美容科，福建泉州362000

目的初步观察复方丹参霜和超声波美容机联合方法治疗面颈部浅表皮肤凹陷性瘢痕的疗效。方法将2011年1月～2015年8月在我院医学美容门诊就诊的41例面颈部浅表皮肤凹陷性瘢痕患者随机分为治疗组（23例）及对照组（18例），用75%乙醇消毒皮肤，治疗组用复方丹参霜以超声波探头反复均匀按摩20min，以强度1.1W/cm2左右，每天或隔日一次；对照组单纯复方丹参霜外用；观察两组治疗2个月皮肤凹陷瘢痕的愈合情况。结果41例治疗2个月后，治疗组23例，优12例，良5例，优良率73.91%，总有效率86.96%，对照组18例，优0例，良6例，优良率33.33%，总有效率61.11%；治疗组优良率极显著高于对照组（χ2=6.752，P＜0.01），总有效率显著高于对照组（χ2=3.685，P＜0.05）。结论丹参霜和超声波美容机联合方法治疗面颈部浅表皮肤凹陷性瘢痕的疗效良好。

丹参霜；超声波；凹陷性瘢痕；面颈部

［Abstract］Objective To observe the effect of compound Salvia Miltrorrhiza cream combined with ultrasonic cosmetic instrument in treatment of faciocervical superficial depressed scars.M ethods A total of 41 patients with faciocervical superficial depressed scars treated in our department from January 2011 to August 2015 were selected and randomly divided into treatment group（23 cases）and control group（18 cases）.After disinfection of skin by 75%ethyl alcohol，patients in the treatment group weremassaged by ultrasonic probe with compound Salvia Miltrorrhiza cream（intensity= 1.1W/cm2，q.d.or qod）；while patients in the control group were simply given compound Salvia Miltrorrhiza cream for external use.The healing status of depressed scarswere observed after twomonths of treatment.Results After 2months of treatment，among the 23 patients in the treatment group，12 caseswere excellent，and 5 caseswere good，with an excellent and good rate of 73.91%and an overall response rate of 86.96%；while among the 18 patients in the control group，0 was excellent，and 6 caseswere good，with an excellentand good rate of 33.33%and an overall response rate of 61.11%.The excellentand good ratewas significantly higher in the treatment group than in the control group（χ2=6.752，P＜0.01），and the overall response rate was also significantly higher in the treatment group than in the control group （χ2=3.685，P＜0.05）.Conclusion The effect of compound Salvia Miltrorrhiza cream combined with ultrasonic cosmetic instrument is favorable in treatmentof faciocervical superficial depressed scars.

［Key words］Salvia Miltrorrhiza cream；Ultrasound；Depressed scar；Faciocervical region

凹陷性瘢痕是由于痤疮、水痘、外伤等引起，分为组织缺损性、粘连性、萎缩性、错位性等，治疗原则与增生性瘢痕、瘢痕疙瘩不同［1-3］，以促进纤维细胞增生及其胶原产生为主［1，3］，治疗方法主要有多种，如手术［4］、磨削［5］、像素激光、铒激光微剥脱技术［6］、微等离子体［7］、CO2激光点阵［8］等，这些方法均为创伤性的，价格高、色素沉着、疼痛以及效果不尽人意［1，9］。

面颈部浅表凹陷性瘢痕不仅影响美观、严重刺激患者心理［10］，且由于该部位解剖学和组织学特性导致治疗很棘手。……