Liu Na,Zhang Chuan,Yang Lei,et al. Clinical analysis of scar hyperplasia after chest median incision in children with congenital heart disease.[J].Journal of Clinical Pediatric Surgery,,18():45-48.
Clinical analysis of scar hyperplasia after chest median incision in children with congenital heart disease.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 01
Page:
45-48
Column:
论著
Date of publication:
2019-01-20
- Keywords:
- ; Scar Hyperplasia; Medical Glue; Heart Diseases/CN; Postoperative Period; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the efficacy of using medical adhesive and silicagel dressing for scar hyperplasia after chest median incision in children with congenital heart disease (CHD).MethodsA total of 160 CHD cases underwent median sternotomy.They were randomly divided into 4 groups of A (medical adhesive treatment),B (silicone dressing treatment),C (sequential medical adhesive silicone dressing treatment) and D (control) (n=40 each).Formation of wound scar was evaluated after treatment for 1,6,3,12 months.The Vancouver Scar Scale was used for assessing scar color,vascular distribution,thickness and softness.Then statistical analysis was performed.ResultsThe hypertrophic scar scores of A,B and C groups were lower than those of D group after 1 month.However the difference was not statistically significant (P>0.05);after 3,6 and 12 months,the hypertrophic scar scores of A,B and C groups were lower than those of D group.And the differences were statistically significant (P<0.05);the hypertrophic scar score of C group was lower than A and B groups.The difference was statistically significant (P<0.05).However,no significant differences existed between A and B groups.None of them had no obvious adverse reactions during treatment.ConclusionMedical adhesive sequential silicone dressing can significantly suppress the proliferation of scar tissue after middle thoracic incision in children with congenital heart disease.
Last Update:
2019-01-22