修复重建-arpat 发表于 2023-9-26 21:52:26

手术治疗后为什么会形成疤痕?

手术治疗后为什么会形成疤痕?


文章摘要:本文分析了手术后形成疤痕的原因,以及避免方法,希望对大家有所帮助!!
  手术是挽救生命有力的医疗方式之一,但手术之后大部分会留下疤痕,很多人都觉得身上有丑丑的疤痕会有很大的影响,那么,手术疤痕修复有什么方法?data:image/jpg;base64,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  手术疤痕形成的原因还和其他一些因素,比如皮肤色素和异物的落入创面等也会对疤痕的增生和色素的沉着产生严重影响。因为有色人种,黑色素细胞分泌旺盛,手术会刺激黑色素细胞分泌黑色素颗粒,造成色素的沉着。而一些带有颜色的色素落入创面,不但会引起色素沉着,还会引起强烈的疤痕组织反应,导致疤痕增生。另外,手术切口的选择也会对疤痕的形成产生重要的影响,一般横向的顺着皮肤纹理的切口会使手术疤痕缩减到小,而一些纵向的或者斜向的切口,皮肤畸形则越明显。  有效的修复手术疤痕,明确手术疤痕产生的因素,并根据这些因素对症的进性治疗很重要。手术疤痕的形成主要跟以下几个因素有关,张力在手术疤痕的形成中起着十分关键的作用,皮肤张力包括皮肤组织本身固有的张力和皮肤组织缺损程度所引起的外张力,一般增生性疤痕易发生在活动多、张力大的位置,如下颌,胸骨前,三角肌,肘、髋、膝、踝的关节处等。年龄的因素对皮肤张力会有一定的影响,青年人因青春发育期皮肤组织生长旺盛,创伤后的反应就比较强烈,引起的皮肤张力就会比中老年人大,手术疤痕增生率也就比较高。反复的感染会使长期创面曝露在外的伤口,肉芽组织过度增生,就会容易产生增生性疤痕和疤痕疙瘩。  以上是手术疤痕形成的原因,并非每一个手术疤痕的形成都有以上所有的因素的发生,所以在治疗疤痕时,还是要根据具体的疤痕状况具体的分析,选用相应的疤痕治疗方式来进行治疗。并为患者量身制定一套疤痕修复计划,根据患者不同阶段疤痕修复情况,使用专业手法进行治疗。



页: [1]
查看完整版本: 手术治疗后为什么会形成疤痕?