Chinese Medical Sciences Journal ›› 2017, Vol. 32 ›› Issue (2): 113-118.doi: 10.24920/J1001-9294.2017.014

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病理性瘢痕血供及组织缺氧的研究进展

李梓菲1, 刘清亮2, 王晓军2,*(), 栾杰1,*()   

  1. 1.中国医学科学院北京协和医学院整形外科医院,乳房整形与再造中心
    2.中国医学科学院北京协和医学院北京协和医院,整形美容外科
  • 收稿日期:2016-06-27 出版日期:2017-06-30 发布日期:2017-06-10
  • 通讯作者: 王晓军,栾杰 E-mail:wxjpumch@163.com;JieLuands@163.com

The Characteristics of Blood Supply and Tissue Hypoxia in Pathological Scars

Li Zifei1, Liu Qingliang2, Wang Xiaojun2,*(), Luan Jie1,*()   

  1. 1Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China
    2Division of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China
  • Received:2016-06-27 Published:2017-06-30 Online:2017-06-10
  • Contact: Wang Xiaojun,Luan Jie E-mail:wxjpumch@163.com;JieLuands@163.com

摘要:

血供在病理性瘢痕的形成中起到重要作用,近年来备受关注。然而关于血管分布、血管结构、血流量的相关研究结论争议颇多。此外,缺氧微环境在病理性瘢痕组织的血管化过程中起到重要作用,影响相关代谢指标及细胞因子的表达。血供与组织缺氧之间有密切关系,但仍不甚明了。本文就病理性瘢痕血供及组织缺氧的研究进展进行综述,阐述病理性瘢痕的血供特点及与组织缺氧的联系,并对未来研究方向进行展望。

关键词: 病理性瘢痕, 增生性瘢痕, 瘢痕疙瘩, 血供, 缺氧

Abstract:

Blood supply is believed to be an important aspect in the development of pathological scars. However, there are controversies about vascular distribution, vascular structure and blood flow in pathological scars. Additionally, hypoxic microenvironment plays an important role in the vascularization of pathological scar tissues, and hypoxic conditions can be reflected by metabolic indexes and some cytokines. Furthermore, the correlation between blood supply and tissue hypoxia is controversial. The aim of this article is to review the literature on the characteristics of blood supply and tissue hypoxia in pathological scars, from which we can see pathological scars have unique characteristics of blood supply that are closely associated with tissue hypoxia. Moreover, development in the treatment of pathological scars is herein reviewed.

Key words: pathological scar, hypertrophic scar, keloid, blood flow, hypoxia

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