medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2021-9-33-38medalphabet-2036Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИСовременные представления о методах коррекции стрийTreatment of striae distensae: recent conceptionshttps://orcid.org/0000-0003-2559-1719ПетрийМ. А.PetriyM. A.

Петрий Марина Александровна, врач-дерматовенеролог, врач-косметолог

Petriy Marina A.,dermatovenerologist, cosmetologist

marina0301nikolaeva@gmail.comТалыбоваА. П.TalybovaA. P.

А. П. Талыбова, к. м. н., врач-дерматовенеролог, врач-косметолог

A. P. Talybova, PhD Med, dermatovenerologist, cosmetologist

https://orcid.org/0000-0002-6686-4253СтенькоА. Г.StenkoA. G.

А. Г. Стенько, д. м. н., зав. отделением дерматологии и косметологии

A. G. Stenko, DM Sci, head of Dermatology and Cosmetology Dept

stenko1@rambler.ruАО «Институт пластической хирургии и косметологии»РоссияInstitute of Plastic Surgery and CosmetologyRussian Federation20212406202109Дерматология (1)3038Copyright © Петрий М.А., Талыбова А.П., Стенько А.Г., 20212021Петрий М.А., Талыбова А.П., Стенько А.Г.Petriy M.A., Talybova A.P., Stenko A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2036

Стрии представляют собой линейные участки кожной атрофии, проявляющиеся в местах наибольшего растяжения кожи. Их формирование – сложный многофакторный процесс, этиопатогенез которого еще не до конца изучен. Эстетическая коррекция стрий является актуальной проблемой современной дерматокосметологии ввиду их широкой распространенности и выраженного негативного влияния на качество жизни пациентов. В данной статье представлен обзор литературы, посвященный современным методам лечения стрий. Рассмотрены принципы воздействия различных методов лечения, их классификация и данные клинических исследований.

Stretch marks (striae distensae) are linear areas of cutaneous atrophy that appear in regions of greatest stretch of the skin. Their formation is a complex multifactorial process, its etiopathogenesis has not been fully understood yet. Aesthetic correction of stretch marks is an urgent problem of modern dermatocosmetology due to their widespread prevalence and pronounced negative impact on the patient’s quality of life. The aim of this paper was to provide a review of the literature on current reported treatment options for stretch marks. The principles of the effect of various methods of treatment, their classification and data from clinical trials are considered.

стриирастяжкилинейная атрофия кожилазеротерапияфракционный фототермолизабляционный лазерPRP-терапиятопическое лечение стрийstretch marksstriae distensaelinear skin atrophylaser therapyfractional photothermolysisablative laserPRP-therapytopical treatment of striae distensaeReferencesМантурова Н. Е., Круглова Л. С., Стенько А. Г. Рубцы кожи. ГЭО-ТАР-Медиа. 2021. 238 с.Manturova N. E., Kruglova L. S., Stenko A. G. Skin scars. GEOTAR-Media. 2021.238 s.Строев Ю. И. Кожные стрии: новые представления о патогенезе и диагностической значимости старого симптома Ю. И. Строев, Л. П. Чурилов Медицина: XXI век. 2008. № 10 (11). С. 50–55.Stroyev Yu. I. Skin striae: new ideas about the pathogenesis and diagnostic significance of an old symptom Yu. I. Stroyev, L. P. Churilov Medicine: XXI century. 2008. No. 10 (11). P. 50–55.Judge D. P., Dietz H. C. Marfan’s syndrome. Lancet. 2005. v. 366. pp. 1965–1976Judge D. P., Dietz H. C. Marfan’s syndrome. Lancet. 2005. v. 366. pp. 1965–1976Озерская О. С. Рубцы кожи и их дерматокосметологическая коррекция. СПб.: ОАО «Искусство России», 2007. 224 с., 2007.Ozerskaya O. S. Skin scars and their dermatocosmetological correction. SPb.: JSC «Art of Russia», 2007. 224 p., 2007.Pinkus H, Keech MK, Mehregan AH. Histopathology of striae distensae, with special reference to striae and wound healing in the Marfan syndrome. Journal of Investigative Dermatology 1966; 46: 283–92.Pinkus H, Keech MK, Mehregan AH. Histopathology of striae distensae, with special reference to striae and wound healing in the Marfan syndrome. Journal of Investigative Dermatology 1966; 46: 283–92.Куй-Беда О.В., Тищенко А. Л., Сергеева Н. С. Линейные атрофии и актуальные методы их устранения. Медицинский вестник МВД № 1 (86), 2017, c. 46–49.Kui-Beda O.V., Tishchenko A. L., Sergeeva N. S. Linear atrophies and current methods of their elimination «Medical Bulletin of the Ministry of Internal Affairs» No. 1 (86), 2017, p. 46–49.Ud-Din S, McGeorge D, Bayat A. Topical management of striae distensae (stretch marks): Prevention and therapy of striae rubrae and albae. J Eur Acad Dermatol Venereol 2016; 30: 211–22.Ud-Din S, McGeorge D, Bayat A. Topical management of striae distensae (stretch marks): Prevention and therapy of striae rubrae and albae. J Eur Acad Dermatol Venereol 2016; 30: 211–22.Brennan M, Young G, Devane D, et al. Topical preparations for preventing stretch marks in pregnancy. Cochrane Database Syst Rev 2012.Brennan M, Young G, Devane D, et al. Topical preparations for preventing stretch marks in pregnancy. Cochrane Database Syst Rev 2012.Kang S, Kim KJ, Griffiths CEM, et al. Topical Tretinoin (Retinoic Acid) Improves Early Stretch Marks. Arch Dermatol. 1996; 132 (5): 519–526.Kang S, Kim KJ, Griffiths CEM, et al. Topical Tretinoin (Retinoic Acid) Improves Early Stretch Marks. Arch Dermatol. 1996; 132 (5): 519–526.Mazzarello V, Farace F, Ena P et al. A superficial texture analysis of 70 % glycolic acid topical therapy and striae distensae. Plastic & Reconstructive Surgery 2012; 129: 589e-90e.Mazzarello V, Farace F, Ena P et al. A superficial texture analysis of 70 % glycolic acid topical therapy and striae distensae. Plastic & Reconstructive Surgery 2012; 129: 589e-90e.Abdel-Latif AM, Elbendary AS. Treatment of striae distensae with microdermabrasion: A clinical and molecular study. JEWDS 2008; 5: 24–30.Abdel-Latif AM, Elbendary AS. Treatment of striae distensae with microdermabrasion: A clinical and molecular study. JEWDS 2008; 5: 24–30.Ibrahim ZAE-S, El-Tatawy RA, El-Samongy MA, Ali DAM. Comparison between the efficacy and safety of platelet-rich plasma vs. microdermabrasion in the treatment of striae distensae: clinical and histopathological study. J Cosmet Dermatol. 2015; 14 (4): 336–46.Ibrahim ZAE-S, El-Tatawy RA, El-Samongy MA, Ali DAM. Comparison between the efficacy and safety of platelet-rich plasma vs. microdermabrasion in the treatment of striae distensae: clinical and histopathological study. J Cosmet Dermatol. 2015; 14 (4): 336–46.Park KY, Kim HK, Kim SE, Kim BJ, Kim MN. Treatment of striae distensae using needling therapy: A pilot study. Dermatol Surg. 2012; 38: 1823–8.Park KY, Kim HK, Kim SE, Kim BJ, Kim MN. Treatment of striae distensae using needling therapy: A pilot study. Dermatol Surg. 2012; 38: 1823–8.Aust MC, Knobloch K, Vogt PM. Percutaneous collagen induction therapy as a novel therapeutic option for striae distensae. Plast Reconstr Surg. 2010; 126: 219e-20e.Aust MC, Knobloch K, Vogt PM. Percutaneous collagen induction therapy as a novel therapeutic option for striae distensae. Plast Reconstr Surg. 2010; 126: 219e-20e.Podgórna K, Kołodziejczak A, Rotsztejn H. Cutometric assessment of elasticity of skin with striae distensae following carboxytherapy. J Cosmet Dermatol 2018; 17: 1170–4.Podgórna K, Kołodziejczak A, Rotsztejn H. Cutometric assessment of elasticity of skin with striae distensae following carboxytherapy. J Cosmet Dermatol 2018; 17: 1170–4.Montesi G, Calvieri S, Balzani A, Gold MH. Bipolar radiofrequency in the treatment of dermatologic imperfections: Clinic pathological and immunohistochemical aspects. J Drugs Dermatol. 2007; 6: 890–6.Montesi G, Calvieri S, Balzani A, Gold MH. Bipolar radiofrequency in the treatment of dermatologic imperfections: Clinic pathological and immunohistochemical aspects. J Drugs Dermatol. 2007; 6: 890–6.Bedewi AE, Khalafawy GE. The use of synchrotron infra-red microspectroscopy to demonstrate the effect of intense pulsed light on dermal fibroblasts. J Cosmet Laser Ther. 2013; 15: 305–9.Bedewi AE, Khalafawy GE. The use of synchrotron infra-red microspectroscopy to demonstrate the effect of intense pulsed light on dermal fibroblasts. J Cosmet Laser Ther. 2013; 15: 305–9.Al-Dhalimi MA, Abo Nasyria AA. A comparative study of the effectiveness of intense pulsed light wavelengths (650 nm vs 590 nm) in the treatment of striae distensae. J Cosmet Laser Ther. 2013; 15: 120–5.Al-Dhalimi MA, Abo Nasyria AA. A comparative study of the effectiveness of intense pulsed light wavelengths (650 nm vs 590 nm) in the treatment of striae distensae. J Cosmet Laser Ther. 2013; 15: 120–5.Altshuler GB, Yaroslavsky I. Absorption Characteristics of Tissues as a Basis for the Optimal Wavelength Choice in Photodermatology. Burlington: Palomar Medical Technologies; 2004. p. 1–4.Altshuler GB, Yaroslavsky I. Absorption Characteristics of Tissues as a Basis for the Optimal Wavelength Choice in Photodermatology. Burlington: Palomar Medical Technologies; 2004. p. 1–4.Tierney EP, Kouba DJ, Hanke CW. Review of fractional photothermolysis: Treatment indications and efficacy. Dermatol Surg2009; 35: 1445–61.21. Macedo OR, Bussade M, Salgado A, Ribeiro MM. Fractional photothermolysis for the treatment of striae distensae. J Am Acad Dermatol 2007; 56: AB 204.Tierney EP, Kouba DJ, Hanke CW. Review of fractional photothermolysis: Treatment indications and efficacy. Dermatol Surg2009; 35: 1445–61.21. Macedo OR, Bussade M, Salgado A, Ribeiro MM. Fractional photothermolysis for the treatment of striae distensae. J Am Acad Dermatol 2007; 56: AB 204.Nouri K, Romagosa R, Chartier T, Bowes L, Spencer JM. Comparison of the 585 nm pulse dye laser and the short pulsed CO2 laser in the treatment of striae distensae in skin types IV and VI. Dermatol Surg. 1999; 25: 368–70.Nouri K, Romagosa R, Chartier T, Bowes L, Spencer JM. Comparison of the 585 nm pulse dye laser and the short pulsed CO2 laser in the treatment of striae distensae in skin types IV and VI. Dermatol Surg. 1999; 25: 368–70.Yang YJ, Lee GY. Treatment of Striae distensae with nonablative fractional laser versus ablative CO (2) fractional laser: A randomized controlled trial. Ann Dermatol 2011; 23: 481–9.Yang YJ, Lee GY. Treatment of Striae distensae with nonablative fractional laser versus ablative CO (2) fractional laser: A randomized controlled trial. Ann Dermatol 2011; 23: 481–9.Wanitphakdeedecha R. Treatment of striae distensae with variable square pulse Erbium: YAG laser resurfacing. J Laser Health Acad 2012; 1: S 15.Wanitphakdeedecha R. Treatment of striae distensae with variable square pulse Erbium: YAG laser resurfacing. J Laser Health Acad 2012; 1: S 15.Gauglitz GG, Reinholz M, Kaudewitz P, Schauber J, Ruzicka T. Treatment of striae distensae using an ablative Erbium: YAG fractional laser versus a 585-nm pulsed-dye laser. J Cosmet Laser Ther. 2014; 16: 117–9.Gauglitz GG, Reinholz M, Kaudewitz P, Schauber J, Ruzicka T. Treatment of striae distensae using an ablative Erbium: YAG fractional laser versus a 585-nm pulsed-dye laser. J Cosmet Laser Ther. 2014; 16: 117–9.М. М. Карабут, Н. Д. Гладкова, Ф. И. Фельдштейн Фракционный лазерный фототермолиз в лечении кожных дефектов: возможности и эффективность (обзор) Соврем. технол. мед. 2016. № 2.M. M. Karabut, N. D. Gladkova, F. I. Feldstein Fractional laser photothermolysis in the treatment of skin defects: possibilities and effectiveness (review) Sovrem. technol. med. 2016. No. 2.de Angelis F, Kolesnikova L, Renato F, Liguori G. Fractional nonablative 1540-nm laser treatment of striae distensae in Fitzpatrick skin types II to IV: Clinical and histological results. Aesthet Surg J. 2011; 31: 411–9.de Angelis F, Kolesnikova L, Renato F, Liguori G. Fractional nonablative 1540-nm laser treatment of striae distensae in Fitzpatrick skin types II to IV: Clinical and histological results. Aesthet Surg J. 2011; 31: 411–9.Kim H. S., Lee J. H., Park Y. M., Lee J. Y. Comparison of effectiveness of nonablative fractional laser versus ablative fractional laser in thyroidectomy scar prevention: a pilot study J. Cosmet. Laser. Ther. 2012; 14 (2): 89–93.Kim H. S., Lee J. H., Park Y. M., Lee J. Y. Comparison of effectiveness of nonablative fractional laser versus ablative fractional laser in thyroidectomy scar prevention: a pilot study J. Cosmet. Laser. Ther. 2012; 14 (2): 89–93.Malekzad F, Shakoei S, Ayatollahi A, Hejazi S. The safety and efficacy of the 1540nm non-ablative fractional XD probe of star lux 500 device in the treatment of striae alba: Before-after study. J Lasers Med Sci. 2014; 5: 194–8.Malekzad F, Shakoei S, Ayatollahi A, Hejazi S. The safety and efficacy of the 1540nm non-ablative fractional XD probe of star lux 500 device in the treatment of striae alba: Before-after study. J Lasers Med Sci. 2014; 5: 194–8.McDaniel DH, Ash K, Zukowski M. Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg. 1996; 22: 332–7.McDaniel DH, Ash K, Zukowski M. Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg. 1996; 22: 332–7.Shokeir H, El Bedewi A, Sayed S, El Khalafawy G. Efficacy of pulsed dye laser versus intense pulsed light in the treatment of striae distensae. Dermatol Surg. 2014; 40:632–40.Shokeir H, El Bedewi A, Sayed S, El Khalafawy G. Efficacy of pulsed dye laser versus intense pulsed light in the treatment of striae distensae. Dermatol Surg. 2014; 40:632–40.Naeini FF, Nikyar Z, Mokhtari F, Bahrami A. Comparison of the fractional CO2 laser and the combined use of a pulsed dye laser with fractional CO2 laser in striae alba treatment. AdvBiomedRes. 2014; 3: 184.Naeini FF, Nikyar Z, Mokhtari F, Bahrami A. Comparison of the fractional CO2 laser and the combined use of a pulsed dye laser with fractional CO2 laser in striae alba treatment. AdvBiomedRes. 2014; 3: 184.Alexiades-Armenakas MR, Bernstein LJ, Friedman PM, Geronemus RG. The safety and efficacy of the 308-nm excimer laser for pigment correction of hypopigmented scars and striae alba. Arch Dermatol. 2004; 140: 955–60.Alexiades-Armenakas MR, Bernstein LJ, Friedman PM, Geronemus RG. The safety and efficacy of the 308-nm excimer laser for pigment correction of hypopigmented scars and striae alba. Arch Dermatol. 2004; 140: 955–60.Goldberg DJ, Marmur ES, Schmults C, Hussain M, Phelps R. Histologic and ultrastructural analysis of ultraviolet B laser and light source treatment of leukoderma in striae distensae. Dermatol Surg 2005; 31: 385–7.Goldberg DJ, Marmur ES, Schmults C, Hussain M, Phelps R. Histologic and ultrastructural analysis of ultraviolet B laser and light source treatment of leukoderma in striae distensae. Dermatol Surg 2005; 31: 385–7.Elsaie ML, Hussein MS, Tawfik AA, Emam HM, Badawi MA, Fawzy MM, et al. Comparison of the effectiveness of two fluences using long-pulsed Nd: YAG laser in the treatment of striae distensae. Histological and morphometric evaluation. J Lasers Med Sci. 2016; 31:1845–53.Elsaie ML, Hussein MS, Tawfik AA, Emam HM, Badawi MA, Fawzy MM, et al. Comparison of the effectiveness of two fluences using long-pulsed Nd: YAG laser in the treatment of striae distensae. Histological and morphometric evaluation. J Lasers Med Sci. 2016; 31:1845–53.Longo L, Postiglione MG, Marangoni O, Melato M. Two-year follow-up results of copper bromide laser treatment of striae. J Clin Laser Med Surg. 2003; 21: 157–60Longo L, Postiglione MG, Marangoni O, Melato M. Two-year follow-up results of copper bromide laser treatment of striae. J Clin Laser Med Surg. 2003; 21: 157–60

The authors declare that there are no conflicts of interest present.