修复重建-arpat 发表于 2023-9-26 21:42:34

外伤或手术后的伤口疤痕如何避免增生变宽?

外伤或手术后的伤口疤痕如何避免增生变宽?


文章摘要:疤痕如果处理修复不当的话,就很容易会变增生变宽变大,这是什么原因造成的呢?本文分析了具体原因,希望大家多了解!
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      手术后疤痕越来越宽甚至再度明显增生的原因有很多,如疤痕的部位和大小、手术减张缝合的质量、术后护理的质量以及患者的自身体质等,其中最重要的是手术减张缝合的质量和术后护理的质量。手术减张缝合是根本,手术减张做得好,才能使切口愈合良好,愈合后的疤痕才可能不明显。但疤痕下的皮下组织是以脂肪为主的疏松结缔组织,传统的方法皮下缝合时,皮下组织不能承受皮下减张缝合的张力,而主要依靠皮内缝合减张,这样缝合的张力主要就集中在切口线上。随着时间的推移,由于张力的作用,切口瘢痕也会不同程度的增生,并且越来越宽。因此,对于疤痕切除缝合术,所以强烈建议采用保留部分瘢痕真皮的改良瘢痕切除减张缝合术。  当然,手术也只是疤痕治疗的一部分,术后的护理同样不能忽视,没有正确及时的术后护理,即便是手术非常成功,也常常达不到满意的最终效果。


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查看完整版本: 外伤或手术后的伤口疤痕如何避免增生变宽?