邻近皮瓣修复术和经扩张后随意型皮瓣修复术在面颈部烧伤后瘢痕患者中的应用效果比较  

Comparison on the Application Effects of Adjacent Flap Repair and Expanded Random Flap Repair in Patients with Scars After Facial and Neck Burns

作　　者：杨来新 付合军 YANG Laixin;FU Hejun(Department of Burn and Plastic Surgery,Xinxiang Second People's Hospital,Xinxiang 453002,China)

机构地区：[1]新乡市第二人民医院烧伤整形科,河南新乡453002

出　　处：《临床医学工程》2023年第10期1393-1394,共2页Clinical Medicine & Engineering

摘　　要：目的 对比邻近皮瓣修复术和经扩张后随意型皮瓣修复术在面颈部烧伤后瘢痕患者中的应用效果。方法 86例面颈部烧伤后瘢痕患者随机分为两组,对照组行邻近皮瓣修复术治疗,观察组行经扩张后随意型皮瓣修复术治疗,比较两组的治疗效果及并发症。结果 观察组的治疗总有效率为93.02%,高于对照组的72.09%(P<0.05)。术后3个月,观察组的色泽、柔软度、厚度及血管分布各维度评分均低于对照组(P<0.05)。两组的并发症总发生率比较,差异无统计学意义(P>0.05)。结论 与邻近皮瓣修复术相比,经扩张后随意型皮瓣修复术治疗面颈部烧伤后瘢痕患者的效果更佳,有利于瘢痕改善。Objective To compare the application effects of adjacent flap repair and expanded random flap repair in patients with scars after facial and neck burns.Methods 86 patients with scars after facial and neck burns were randomly divided into two groups.The control group was treated with adjacent flap repair,and the observation group was treated with expanded random flap repair.The treatment effects and complications of the two groups were compared.Results The total effective rate of treatment in the observation group was 93.02%,higher than 72.09%in the control group(P<0.05).At 3 months after surgery,the scores of color,softness,thickness and vascular distribution dimensions in the observation group were lower than those in the control group(P<0.05).No significant difference was found in the total incidence of complications between the two groups(P>0.05).Conclusions Compared with adjacent flap repair,expanded random flap repair has better effect in the treatment of patients with scars after facial and neck burns,and is beneficial to the improvement of scars.

关 键 词：面颈部烧伤后瘢痕 邻近皮瓣修复术 经扩张后随意型皮瓣修复术 治疗效果 

分 类 号：R622.1[医药卫生—整形外科]