皮肤瘢痕硬度的定量测定

李　雯　李　伟等

(中国石油天然气总公司中心医院整形科河北廊坊065000)

李雯女,1996年毕业于大庆医学院医疗系,现工作于中国石油天然气总公司中心医院整形科。

[摘要]目的:测定各级瘢痕和正常皮肤的硬度。为瘢痕演变的诊断、治疗效果的评价和治疗方法的选择提供客观定量的参考指标。方法:按Leung临床瘢痕分级方法将瘢痕分为Ⅰ-Ⅴ级,用A型邵氏硬度计测量每块瘢痕及临近皮肤的硬度。结果:Ⅰ级瘢痕的邵氏硬度略大于正常皮肤,各级瘢痕的邵氏硬度随瘢痕级别的增加而明显增大,并在很宽的范围内变化。结论:采用A型邵氏硬度计能够较准确地测定各种瘢痕和正常皮肤的邵氏硬度及其随时间的微小变化。

[关键词]瘢痕硬度测量邵氏硬度

[中图分类号]R364.3+1[文献标识码]A[文章编号]1008-6455(2000)05-0326-02

QUANTITATIVE DETERMINATION OF HARDNESS OF SCARS

LI WenLI WeiLI Mingshan

The Department of Plastic Surgery,The Central Hospital,Chinese Natural

Petroleum Company(Langfang 065000)

[Abstract]Objective:A prelumnary test to determine quantitatively the Shore hardness of scars of different stages with their adjacent normal skin as comparing.It provides an abjective quantitative reference index for the diagnosis of evolution,selection of treatment method and evaluation of the treatment effect of scars.Methods: 45 cases with 200 pieces of burn scars were divided into groups of grade Ⅰ to Ⅴ according to Leung竤 method of clinical grading of scars.Type A Shores durometer was used to test the hardness of each indivadual piece of the scar and its nearly normal skin.Results:The Shores hardness of grade Ⅰ scar is a test larger than that of normal skin.The Shores hardness is increased obviously witheach raising of grading.The value of increasing varies is a disfinietly discriavenable wide range.Conclusion:〖WT5"BZ〗Type A Shore durometer can be used to determine accurately the Shore hardness of various kinds of scars,as well as their minor change with time-passing.

[Key words]ScarDeterming hardnessShores hardness

关于皮肤瘢痕的演变和各种治疗方法效果的评价,目前基本上凭主观判断。还没有统一的、客观的标准和方法。瘢痕硬度及其变化是反映瘢痕演变和治疗效果的一个重要指标,瘢痕硬度愈接近正常皮肤,说明治疗效果愈好。由上述可知,急需要建立关于瘢痕硬度的客观测量方法和定量测量标准。有介绍自制仪表测量瘢痕硬度的方法[1]