不同部位皮肤扩张的时间及并发症的探讨  

Timing and complications of skin expansion in different sites

作　　者：胡勇[1] 李建宁[1] 秦荣生[1] 牛星焘[1] 

机构地区：[1]北京大学第三医院成形科,100083

出　　处：《中华医学美学美容杂志》2002年第5期244-246,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨扩张部位与扩张效率的关系。方法　根据 115例患者 2 18例扩张器埋置部位的不同 ,分为耳后、头、面、颈、胸部 5组 ,对比扩张器不同的埋置部位对并发症及扩张时间的影响。结果　耳后、头、面、颈、胸部 5组并发症发生率分别为 33.33%、5 .88%、12 .2 0 %、6 .6 7%、8.11% ,耳后的并发症发生率明显高于其他部位 (P <0 .0 5 ) ,其中耳后与头部比较 ,差异有显著性意义 (P <0 .0 1) ,其他部位之间差异无显著意义。耳后、头、面、颈、胸部 5组扩张器注水时间分别为 (5 5 .88± 2 7.4 2 )、(73.6 9±5 1.2 3)、(6 6 .35± 2 7.12 )、(85 .11± 37.72 )、(77.86± 2 7.6 7)d ,颈部扩张时间明显长于其他部位 (P <0 .0 5 ) ,其中颈部与面部差异有显著性意义 (P <0 .0 1)。结论　耳后、面部并发症较多 ,要控制扩张速度 ;颈部扩张时间较长 ,并发症少 。Objective To explore the relationship betwween the location and efficiency of skin expansion. Methods Total 218 expanders were used in 115 patients between 1994 and 2002. According to the different location of skin expansion, they were divided into 5 groups:face, scalp, neck, chest and posterior auricular skin. Comparison of the location of expanders with expanding time and its complications was performed. Results Incidence of complications in posterior auricular groups was significatnly higher than that in scalp groups ( P <0.01), and also higher than those in other groups ( P <0.05). Expanding time of the neck skin was significantly longer than that of the face ( P <0.01), and longer than those of other sites as well ( P <0.05). Conclusion Owing to the frequent complications in posterior ear and face, the expanding speed should be properly controlled. While with the longest time and less complications in the neck, the expanding time can be shortened.

关 键 词：手术后 并发症 扩张术 皮肤扩张 

分 类 号：R622[医药卫生—整形外科]