湿性医疗技术治疗面部软组织缺损的临床应用  

Clinical application research of moist exposed method in the treatment of facial soft tissue defect

作　　者：王俊[1] 郝兰清 王高丽[1] 吕飞飞[1] 夏欣[1] 王金雨[1] 邹晶[1] 和王刚 周小龙[1] 李巧梅[1] 

机构地区：[1]安康市中医医院口腔科,陕西安康725000

出　　处：《临床口腔医学杂志》2015年第3期156-158,共3页Journal of Clinical Stomatology

摘　　要：目的:通过湿性医疗技术治疗面部软组织缺损的临床效果观察,介绍一种治疗面部软组织缺损的新方法。方法:对85例面部软组织缺损患者采用湿性医疗技术进行治疗,临床观察创面愈合时间、愈后疤痕及面形、功能变化,分析其疗效。结果:85例患者创面愈合时间最短12 d,最长72 d,74例患者面形及功能恢复正常,伤区皮肤弹性好,瘢痕较轻;11例失访,2例鼻尖、鼻小柱皮肤及鼻翼软骨缺损愈合时间最长,愈后左侧鼻孔边缘遗留V形缺损,湿性医疗技术可能对软骨无作用。结论:湿性医疗技术可以使面部软组织缺损达到较为理想的愈合,操作方法简单,能明显降低医疗费用,是一种简单有效的方法,特别适用于老年患者、全身情况差,不能耐受复杂手术治疗的患者。Objective：To summary clinical experience of treatments of maxillofacial soft tissue defects by moist ex-posed method and introduce a new therapeutic strategy of maxillofacial soft tissue defects. Method：85 patients with max-illofacial soft tissue defects were treated by moist exposed method. We analyzed the efficacy by observing the time of wound healing,healing scar,and change of face shape and functions,in these patients. Result：In these 85 patients,the shortest time of wound healing was 12 days and longest one was 72 days. 74 patients recovered their face shapes and functions. The healing skin has relative good elasticity,less scarring. 11cases were lost to follow-up. 2 patients with defect of tip of nose, skin of columella and alar cartilage has longest time of wound healing,as well as V-shaped defect in the margin of left nos-tril, thought to be of cartilage has no effect. Conclusion：Moist exposed method can lead ideal healing in patients with oral and maxillofacial soft tissue defects. This is an easily performed effective technology without requirement of specific medical equipment. This method is worth popularizing in clinical therapy.

关 键 词：面部软组织缺损 湿性医疗技术 临床应用 

分 类 号：R782.4[医药卫生—口腔医学]