面部软组织外伤急症的整形外科修复  

Repair of soft tissue trauma to the face

作　　者：杨静[1] 姜会庆[1] 汪军[1] 

机构地区：[1]南京大学医学院临床学院(南京军区南京总医院)烧伤整形科,江苏南京210002

出　　处：《中国美容整形外科杂志》2008年第5期373-375,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨利用整形外科技术对面部软组织外伤急症修复的临床效果。方法以微创为原则,修整伤口,精细缝合,并根据软组织的缺损情况,采用皮瓣移植进行Ⅰ、Ⅱ期修复。自2005年1月至2008年1月,对786例面部软组织外伤的急症患者进行修复。结果术后创口无感染、血肿、皮瓣坏死出现。Ⅰ期修复者692例,Ⅱ期修复者94例。随访其中的461患者3～6个月,术区无明显瘢痕增生,面部器官无牵拉变形,效果良好。结论应用整形外科技术修复面部软组织外伤急症,患者术后恢复较快,畸形发生较少,是修复面部软组织外伤急症的较好方法。Objective To explore clinical effectiveness of repair of soft tissue trauma to the face by using plastic surgery techniques. Methods From January 2005 to January 2008, using sterile and non- invasive principles, 786 patients with traumas to their faces were treated with fine suture, the wound chipping. According to the type of defect of the soft tissue, skin flap transplantation was adopted to repair the traumas as phase Ⅰor phase Ⅱ. Results All 692 cases healed primarily and 94 cases healed secondarily without wound infection, hematoma or skin flap necrosis. After 3-6 months follow-up, 461 cases were sayisfied, and showed no obvious scar formation, or traction of facial organs. Conclusion It is better to repair facial soft tissue injury by using plastic surgery because of faster recovery and less frequent occurrence of outcomes with abnormal appearance.

关 键 词：整形外科技术 面部外伤急症 软组织创伤 

分 类 号：R622[医药卫生—整形外科]