急诊应用整形外科学技术处理面部外伤的临床观察  

Clinical observation of the plastic surgery techniques applied in facial trauma treatment

作　　者：李建忠[1] 付研[1] 马炳辰[1] 司晔巍[1] 

机构地区：[1]100176北京首都医科大学附属北京同仁医院(南区)急诊科

出　　处：《中国急救复苏与灾害医学杂志》2012年第9期843-845,858,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的研究和评价在急诊面部外伤的手术中应用整形外科学技术的疗效，寻找颜面部软组织裂伤的最佳修复治疗方法。方法选取2010年6月～2010年12月于北京同仁医院急诊外科就诊的面部外伤患者60例，随机分为实验组（30例）与对照组（30例），分别采用整形外科技术清创缝合和普通急诊清创缝合。分析两组患者伤口愈合情况、伤口愈合后瘢痕（宽度、颜色），医疗费用、医患满意度的差别。结果实验组与对照组伤口均达到一期愈合。实验组与对照组间VAS与VACS评分，瘢痕评分与宽度，医疗费用均存在不同程度差异VAS评分：84．03±4．66比79．53±6．39，VACS评分f回访医生甲）：83．87±8．23比76．67±10．21，VACS评分（回访医生乙1：82．97±5．52比76．5±9．68，瘢痕评分：（0．56±0．50）vs（1．63±0．89），瘢痕宽度：（0．64±0．31）mmVS（0．92±0．32）mm，治疗费用：（225．23±1．48）元VS（170．19±0．96）元，（P〈0．05）或（P〈0．01）。结论对于急诊面部外伤患者采用整形外科的原则和技术进行清创缝合，能够有效减轻瘢痕形成，满足患者的美容要求。Objective To investigate and evaluate the effectiveness of plastic surgery application in facial trauma treatment in emergency room （ER）, pursuing an optimal treatment for facial soft tissue laceration. Methods 60 patients with faciM trauma visited ER between June and December, 2010 were randomly divided into two groups, experiment group and control group with 30 patients equally in each group. Plastic surgery combined with debridement and suture was performed to the experiment group while conventional debridement and suture was provided to the control group. An analysis on wound healing, scar including its width arid color, medical expenses, levels of patients＇ satisfaction was conducted in both groups. Results Despite patients in both groups reached primary level of healing, according to the results of Visual Analogue Scale/Score （VAS） and Visual Analog Cosmesis Scale （VACS）, the differences in between the experiment group and the control group reflected as follows： VAS and VACS, score and width of the scar, and medical costs, VAS： 84.03±4.66 to 79.53± 6.39, VACS （doctor 1）： 83.87±8.23 to 76.67±10.21; VACS （doctor 2）： 82.97±5.52 to 76.5±9.68; score of the scar： 0.56±0.50 to 1.63±0.89; width of the sear （mm）： 0.64±0.31 to 0.92±0.32; medical costs （yuan）： 225.23±1.48 to 170.19± 0.96, P〈0.05 or P〈0.01. Conclusion Application of plastic surgery principle and technology combined with debridement and suture in facial trauma treatment may effectively reduce scar formation and maximize patients＇ satisfaction.

关 键 词：急诊面部外伤 整形外科技术 临床观察 

分 类 号：R64[医药卫生—外科学]