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目的:探讨局部曲安奈德注射联合COn 2点阵激光治疗增生性瘢痕的效果。n 方法:2019年3月至2020年5月，郑州大学第一附属医院整形外科就诊的增生性瘢痕患者80例，男45例，女35例，年龄18~42岁，平均28.1岁；分为试验组和对照组各40例。试验组先局部注射曲安奈德，再用COn 2点阵激光治疗；对照组仅局部注射曲安奈德。治疗结束后由第三方盲评、温哥华瘢痕量表评分、视觉评分量表、皮肤病生活治疗指标调查表评估治疗结果。n 结果:治疗后，试验组治愈比例高于对照组(82.5%比52.5%，n χ2＝8.216，n P<0.05)，治疗前两组温哥华瘢痕量表评分、视觉模拟评分、皮肤病生活治疗指标调查表评分差异均无统计学意义，治疗结束后试验组各项指标改善优于对照组(均n P<0.05)。n 结论:局部曲安奈德注射与COn 2点阵激光治疗增生性瘢痕疗效确切，值得在临床应用。n “,”Objective:To determine the clinical effect of sequential therapy by local injection of triamcinolone acetonide and lattice COn 2laser for hypertrophic scar.n Methods:A total of 80 hypertrophic scar patients, including 45 male and 35 female, in our clinic were randomly divided into test (n n=40) and control (n n=40) groups from March 2019 to May 2020. Patients aged from 18-42 years with average age 28.1. Patients in test groups were treated with triamcinolone acetonide and lattice COn 2laser sequentially. After final treatments, third-party blind evaluation, Vancouver scar scale, visual analog scale and dermatology life quality index were performed.n Results:Test group acquired more satisfied result in third-party blind evaluation (82.5% vs. 52.5%, n χ2=8.216, n P<0.05). Vancouver scar scale, visual analog scale and dermatology life quality index were not significantly different before treatment for both groups while test group acquired better improvement after treatment (n P<0.05).n Conclusions:Sequential therapy by local injection of triamcinolone acetonide and lattice COn 2laser is effective for hypertrophic scar and worths wide application in the clinic.n