Efficacy of Silicone Dressing Combined with Pressure Therapy for Controlling Postoperative Scars

Zhu Xiaomei; Liu Aizhong; Chen Yongyi

Abstract：Objective To compare the efficacy of controlling postoperative scars between self-adhesive silicone dressing combined with pressure therapy and simple pressure therapy. Methods 148 patients with postoperative scars less than 2 years from Mar. 2010 to Dec. 2012 were randomly assigned to experimental group(78 patients)and control group(70 patients). Self-adhesive silicone dressing combined with pressure therapy was performed in experimental group with simple pressure therapy in the control group. Color,vascularity,flexibility and thickness of scar were graded according to Vancouver Scar Judging Standard in both groups before and after treatment,with nimodipine calculation in the results. Results ①78 scars were in the experimental group,including 10 recovery(12. 8%),9 markedly effec-tive(23. 1%),28 effective(35. 9%)and 22 invalid(28. 2%)3 months after. 70 scars were in the control group,in-cluding 2 markedly effective(2. 9%),22 effective(31. 4%)and 46 invalid(65. 7%).②78 scars were in the experi-mental group,including 22 recovery(28. 3%),30 markedly effective(38. 5%),18 effective(23. 1%)and 8 invalid (10. 3%)6 months after. 70 scars were in the control group,including 16 markedly effective(23. 5%),20 effective (29. 4%)and 28 invalid(40. 0%). Conclusion Self-adhesive silicone dressing combined with pressure therapy is superior to simple pressure therapy in controlling postoperative scars.