颌面部外伤行二次美容补救手术的探讨  

Discussion on the Second Cosmetic Repair Surgery for Maxillofacial Trauma

作　　者：张博[1] 肖芳玲 吴维子 邹勃生[1] ZHANG Bo;XIAO Fang-ling;WU Wei-zi;ZOU Bo-sheng(Department of Plastic&Laser Cosmetology,Hunan Provincial People's Hospital&The First Affiliated Hospital of Hunan Normal University,Changsha 410005,Hunan,China)

机构地区：[1]湖南省人民医院&湖南师范大学第一附属医院整形&激光美容科,湖南长沙410005

出　　处：《中国美容医学》2020年第11期82-85,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨已行简单缝合的颌面部外伤患者采取二次美容修复手术的时机和方法。方法:回顾笔者科室接诊的36例(45处伤口)在外院已行简单清创缝合的患者病例资料,观察二次手术的时间和两次手术前后外伤瘢痕评分情况,了解手术的合适时限并比较治疗效果。结果:两周内行二次手术修复的伤口均一期愈合,二次手术后的瘢痕外观评分及患者满意度明显高于初次的简单缝合,差异具有统计学意义。结论:应用整形美容外科技术修复病程在两周内的简单清创缝合患者,疗效确切。Objective To explore the timing and method of secondary cosmetic repair for maxillofacial trauma patients who have been simply sutured.Methods A retrospective analysis was performed on 36 patients(45 wounds).The timing of the second operation and the scar score before and after the two operations were observed to understand the appropriate time limit of the operation and compare the therapeutic effect.Results All the wounds repaired by the second operation within two weeks were primary healing.The scar appearance score and patient satisfaction after the second operation were signifi cantly higher than that after the fi rst simple suture,and the difference was statistically signifi cant.Conclusion The application of plastic surgery technique to repair patients with simple debridement and suture within two weeks is effective.It is worth of clinical application.

关 键 词：颌面部外伤 二期修复 手术时机 美容缝合 

分 类 号：R782.4[医药卫生—口腔医学]