皮肤软组织扩张术与复合皮移植术用于烧伤整形患者的效果比较  

Comparison of effects of skin soft tissue expansion and compoSTTe skin grafting in patients with burn plastic surgery

作　　者：张佩璐 何叶青 ZHANG Peilu;HE Yeqing(Department of Plastic and Aesthetic Surgery of Nanyang Central Hospital,Nanyang 473005 Henan,China)

机构地区：[1]南阳市中心医院整形美容外科,河南南阳473005

出　　处：《中国民康医学》2024年第2期149-152,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较皮肤软组织扩张术与复合皮移植术用于烧伤整形患者的效果。方法:选取2019年12月至2022年12月该院收治的68例烧伤整形患者进行前瞻性研究,按随机数字表法将其分为观察组和对照组各34例。观察组采取皮肤软组织扩张术治疗,对照组采取复合皮移植术治疗。比较两组临床疗效、术后数字分级评分法(NRS)评分、创面愈合时间、血运恢复时间、手术前后生命质量[简明烧伤健康量表(BSHS-B)]、瘢痕评分[温哥华瘢痕评定量表(VSS)]、血清炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-1α(IL-1α)]水平,以及并发症发生率。结果:观察组治疗总有效率为94.12%(32/34),高于对照组的76.47%(26/34),差异有统计学意义(P<0.05);观察组术后NRS、VSS评分及血清TNF-α、IL-1α水平均低于对照组,创面愈合时间、血运恢复时间均短于对照组,BSHS-B评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.82%(3/34),低于对照组的29.41%(10/34),差异有统计学意义(P<0.05)。结论:皮肤软组织扩张术用于烧伤整形患者效果优于复合皮移植术,可减轻术后疼痛和炎症反应,抑制瘢痕形成,缩短创面愈合和血运恢复时间,降低并发症发生率,提高患者生命质量。Objective:To compare effects of skin soft tissue expansion and compoSTTe skin grafting in patients with burn plastic surgery.Methods:A prospective study was conducted on 68 patients with burn plastic surgery admitted to the hospital from December 2019 to December 2022.They were divided into observation group and control group according to the random number table method,34 cases in each.The observation group was treated with skin soft tissue expansion,while the control group was treated with compoSTTe skin grafting.The clinical efficacy,the postoperative pain numerical rating scale(NRS)score,the wound healing time,the blood supply recovery time,the quality of life[burn specific health scale-brief(BSHS-B)],the scar score[Vancouver scar scale(VSS)],the serum inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-1α(IL-1α)]levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:The total effective rate of the observation group was 94.12%(32/34),which was higher than 76.47%(26/34)of the control group,and the difference was statistically significant(P<0.05).The postoperative NRS,VSS scores and the serum levels of TNF-αand IL-1αin the observation group were lower than those in the control group,the wound healing time and blood supply recovery time were shorter than those in the control group,the BSHS-B score was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 8.82%(3/34),which was lower than 29.41%(10/34)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Skin soft tissue expansion is superior to compoSTTe skin grafting in the patients with burn plastic surgery.It can reduce the postoperative pain and the inflammatory response,inhibit the scar formation,shorten the wound healing and the blood supply recovery time,reduce the incidence of complications,and improve the quality of life.

关 键 词：烧伤整形 皮肤软组织扩张术 复合皮移植术 皮片移植 瘢痕修复 

分 类 号：R644[医药卫生—外科学]