医用粘合剂配合整形外科技术修复颌面部创伤效果观察  

Efficacy Observation of the Medical Adhesive Combined with Plastic Surgery Technology for Repairing Maxillofacial Trauma

作　　者：陈燕图 刘伟源[1] 许贤君 CHEN Yan-tu;LIU Wei-yuan;XU Xian-jun(Department of Burns and Plastic Surgery, Wuzhou Red Cross Hospital,Wuzhou 543002,Guangxi,Chin)

机构地区：[1]梧州市红十字会医院烧伤整形外科,广西梧州543002

出　　处：《中国美容医学》2018年第4期25-26,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:总结医用粘合剂配合整形技术修复颌面部皮肤软组织创伤的临床经验,探讨其修复效果。方法:在颌面部皮肤软组织创伤患者急诊清创术中,遵循整形外科的整复原则,采用仔细清创、无张力缝合、皮瓣转移等技术进行修复后,应用医用粘合剂(α-氰基丙烯酸正丁酯)粘合伤口。结果:35例41处损伤创面均一期愈合,71.43%的患者经过3个月～2年的随访,修复伤口呈细小线状,瘢痕轻微,外观满意。结论:医用粘合剂配合整形技术修复颌面部皮肤软组织创伤,能避免患者术后伤口错位畸形,可有效减少瘢痕形成。Objective To summarize the clinical experiences of medical adhesive combined with plastic surgery technology for repairing maxillofacial skin soft tissue injuries. Methods In the maxillofacial skin soft tissue injuries emergency debridement, we followed the plastic surgery principle, used careful debridement, without tension suture, transfer faps technology to repair the trauma. Then, applied the medical adhesive （N-butyl 2-cyanoacrylate） to adhesive wound on the trauma. Results 41 wounds of 35 patients were primary healing. After following up for 3 months to 2 years, more than 73% repaired wounds showed only tiny linear and light scars with satisfactory appearance. Conclusion Medical adhesive cooperate with plastic technique in repairing maxillofacial skin soft tissue injuries, can avoid the postoperative dislocation deformity and effectively reduce scar formation.

关 键 词：医用粘合剂 整形外科技术 颌面部 创伤 Α-氰基丙烯酸正丁酯 

分 类 号：R622[医药卫生—整形外科]