To investigate the treatment and postoperative recovery of post-burn scar and control strategy, and provide better basis for future scar treatment.

Retrospective analysis of 202 cases of post-burn scar surgery patients treated by the Department of Burns, Wound Repair Surgery, People′s Hospital of Xinjiang Uygur Autonomous Region from January 2007 to February 2017 was done. The operative methods were selected according to the nature of scar in different parts of the patient. And the scar tissue was examined by pathological examination. Statistics of the patients with the hospitalization time, operation cost, postoperative pathological results, therapeutic effect and the follow-up status.

There was no perioperative deaths and serious complications during hospitalization. The average hospitalization time of patients was (14.50±6.04) days, and the average operation cost of patients was (15.9±3.7) thousand yuan. The scar was properly loosened and the wounds healed well after discharge. Postoperative pathology showed malignant transformation in 22 cases(10.89%). Among them, there were 15 cases (7.43%) of high-grade differentiated squamous cell carcinoma, 2 cases(0.99%) of malignant melanoma, 1 case (0.50%) of basal cell carcinoma, 1 case(0.50%) of spindle cell carcinoma, 1 case(0.50%) of low differentiated squamous cell carcinoma, 2 cases (0.99%) of local malignant change, and severe hyperplasia of opposite sex. The median follow-up time was 10 months, and 3 cases recurred during the follow-up period.

At present, operation is still one of the effective methods for the treatment of post-burn scar. The prevention and treatment of this disease is complicated. It is suggested that the operation time and indication should be strictly controlled and individualized treatment should be adopted.