A randomized, controlled trial to determine the efficacy of paper tape in preventing hypertrophic scar formation in surgical incisions that traverse Langer's skin tension lines
A randomized, controlled trial to determine the efficacy of paper tape in preventing hypertrophic scar formation in surgical incisions that traverse Langer's skin tension lines
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DOI：
10.1097/01.prs.0000187147.73963.a5
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发表时间：
2005-11-01
影响因子：
3.6
通讯作者：
Rudd, M
中科院分区：
文献类型：
--
作者：
Atkinson, JAM;McKenna, KT;Rudd, M
背景：术后瘢痕的处理方式影响其美容效果。拆线后，瘢痕易受皮肤张力影响，这可能是肥大性瘢痕形成的触发因素。纸带，以支持疤痕可能会减少多方向的力量，并防止肥厚性scarry.Methods：70例下去剖宫产在皇家布里斯班和妇女医院随机治疗组和对照组。对照组术后不进行任何干预。治疗组患者将纸带贴在疤痕上12周。在术后6周、12周和6个月使用超声测量皮内瘢痕体积来评估瘢痕。结果：纸带显著减少瘢痕体积，平均减少0.16 cm（3）（95%置信区间，0.00 ~ 0.29 cm（3））。术后12周，对照组中41%的患者出现增生性瘢痕，而治疗组中无一例出现增生性瘢痕（精确检验，p = 0.003）。在治疗组中，只有一名患者在胶带移除后才出现增生性瘢痕，四名患者出现拉伸性瘢痕。对照组发生增生性瘢痕的几率是治疗组的13.6倍（95%置信区间，3.6 - 66.9）。在70例随机化患者中，39例完成了研究。治疗组中有4名患者在胶带下方出现局部红色皮疹。这些反应是轻微的，短暂的，解决了没有医疗干预。结论：治疗组的发展，只有在磁带被删除后，肥厚性和拉伸疤痕表明，张力作用于疤痕是死触发肥厚性疤痕。纸带可能是通过其消除瘢痕张力的能力来预防增生性瘢痕的有效方式。
Background: How a scar is managed postoperatively influences Its cosmetic outcome. After Suture removal, scars are susceptible to skin tension, which may be the trigger for hypertrophic scarring. Paper tape to support the scar may reduce multidirectional forces and prevent hypertrophic scarring.Methods: Seventy patients who had under gone cesarean section at the Royal Brisbane and Women's Hospital were randomized to treatment and control groups. Patients in the control group received no postoperative intervention. Patients in the treatment group applied paper tape to their scars for 12 weeks. Scars were assessed at 6 weeks, 12 weeks, and 6 months after surgery using Ultrasound to measure intradermal scar volume. Scars were also assessed using the International Clinical Recommendations.Results: Paper tape significantly decreased scar volume by a mean of 0.16 cm(3), (95 percent confidence Interval, 0.00 to 0.29 cm(3)) At 12 weeks after surgery, 41 percent of the control group developed hypertrophic scars compared with none in the treatment group (exact test, p = 0.003). In the treatment group, one patient developed a hypertrophic scar and four developed stretched scars only after the tape was removed. The odds of developing a hypertrophic scar were 13.6 times greater in the control than in the treatment group (95 percent confidence interval, 3.6 to 66.9). Of the 70 patients randomized, 39 completed the study. Four patients in the treatment group developed a localized red rash beneath the tape. These reactions were minor and transient and resolved without medical intervention.Conclusions: The development of hypertrophic and stretched scars in the treatment group only after the tape was removed suggests that tension acting on a scar is die trigger for hypertrophic scarring. Paper tape is likely to be an effective modality for the prevention of hypertrophic scarring through its ability to eliminate scar tension.