多个部位皮肤软组织扩张天数的差异及并发症分析  

Analysis of several parts of skin and soft tissue expansion in the number of days the differences and complications

作　　者：梁岷[1] 李叶扬[1] 汪锦伦[1] 

机构地区：[1]广州市红十字会医院烧伤整形科,510220

出　　处：《广州医药》2009年第4期8-10,共3页Guangzhou Medical Journal

摘　　要：目的分析皮肤扩张部位与扩张效率的关系。方法根据106例患者219枚扩张器埋置部位的不同,分为头、面、颈、胸、上肢5组,探讨扩张器不同的埋置部位对并发症及扩张天数的影响。结果上肢、头、面、颈、胸部5组并发症分别为33.33%、5.55%、12.50%、6.97%、8.57%。上肢并发症发生率明显高于其他部位(P<0.05),上肢与头部比较,差异有统计学意义(P<0.01),其他部位间差异比较无统计学意义。上肢、头、面、颈、胸部5组扩张天数为(45±17)d、(64±41)d、(56±27)d、(75±28)d、(68±18)d。颈部扩张时间明显长于其他部位(P<0.05),其中颈部与面部比较差异有统计学意义(P<0.01)。结论上肢、面部并发症较多,要控制扩张速度,颈部可扩张时间较长,并发症少。Objective Analysis of the relationship between the efficiency and the site of the skin and soft tissue expansion. Methods Based on 219 cases of patients with 106 cases of expansion of different parts of a buried, is divided into 5 groups ： head, face, neck, chest and upper limbs, make a comparison between the expansion of different parts of the buried complications and the impact of the expansion of the number of days. Results Upper limbs, head, face, neck and chest complications in 5 groups were 33.33%, 5.55%, 12.50%, 6. 97%, 8.57%. The incidence of upper limb complications was significantly higher than other parts （P 〈 0.05 ） . The difference of complications in upper limbs and head was significant （P 〈0. 01 ） . Other parts of the body was no significant difference. Upper limbs, head, face, neck and chest expansion days of 5 groups were （45 ± 17） d, （64 ±41） d, （56 ±27） d, （75 ±28） d, （68 ± 18） d. Expansion time of the neck was significantly longer than other parts （ P 〈 0. 01 ） . Conclusion More complications in upper limbs and face, it is necessary to control the rate of expansion. The expansion of the neck can be a long time. There was fewer complications in the neck.

关 键 词：扩张术 并发症 外科皮瓣 修复 

分 类 号：R622[医药卫生—整形外科]