自制式负压引流装置在面部严重创伤整形修复中的应用  

Application of self-made negative pressure drainage device in plastic repair of severe facial trauma

作　　者：王静 陈磊 陈晓明 唐颖 余道江 WANG Jing;CHEN Lei;CHEN Xiaoming;TANG Ying;YU Daojiang(Department of Plastic Surgery,The Second Afiliated Hoaspital of Chengdu Medical College·Nuclear Industry 416 Hospial,Chengdu 610000,China)

机构地区：[1]成都医学院第二附属医院.核工业四一六医院整形外科,四川成都610000

出　　处：《中国美容整形外科杂志》2024年第10期632-635,I0004,共5页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：国家自然科学基金青年科学基金(81703157)。

摘　　要：目的探讨面部严重创伤患者行整形修复术后创腔内置入自制式负压引流装置对恢复效果的影响。方法回顾性分析自2020年11月至2022年6月,成都医学院第二附属医院·核工业四一六医院整形外科急诊收治的574例面部严重创伤行一期整形修复术后患者,按手术方法分为2组。观察组(277例)术后置入自制式负压引流装置,对照组(297例)术后不放置负压引流。比较分析两组患者住院时间、愈合时间、并发症发生情况。术后6个月,采用温哥华瘢痕量表(vancouver scar scale,VSS)对术后瘢痕增生情况进行评分,并调查患者满意度。结果观察组患者住院时间为(4.87±2.31)d,对照组为(5.57±2.52)d,差异有统计学意义(P<0.05);愈合时间差异无统计学意义(P>0.05);观察组并发症发生率为2.5%,对照组为6.4%,差异有统计学意义(P<0.05);观察组瘢痕增生15例,发生率为5.4%,对照组瘢痕增生为33例,发生率为11.1%,瘢痕增生患者VSS评分分别为(6.27±1.03)分和(7.79±1.85)分,两组患者瘢痕增生发生率和VSS评分比较,差异均有统计学意义(P<0.05);观察组患者满意、较满意、不满意占比分别为66.8%、26.4%、6.9%,对照组分别为58.2%、25.3%、16.5%,差异有统计学意义(P<0.05)。结论严重面部创伤患者整形修复术后置入自制式负压引流装置能缩短住院时间,减少并发症发生率及瘢痕增生,且不影响伤口愈合时间,预后效果较好,患者满意度较高。Objective To investigate the effect of self-made negative pressure drainage devices on the recovery of patients with severe facial trauma after plastic surgery.Methods A retrospective analysis was performed on 574 patients with severe facial trauma who underwent first-stage post-traumatic plastic repair admitted to the Department of Plastic and Burn Surgery of our hospital from November2020 to June 2022.Among them,277 patients in the observation group were placed with self-made negative pressure drainage devices after the operation,while 297 patients in the control group were not placed with negative pressure drainage after the operation.The Hospitalization period,healing time,complications,scar hyperplasia,the score of Vancouver Scar Scale(VSS),and patient satisfaction were compared between the two groups.Results Among the two groups,the hospitalization days of the observation group were(4.87±2.31)and that of the control group was(5.57±2.52),the difference was statistically significant(P<0.05).The difference between healing time was of no statistical significance(P>0.05).The complication rate of the observation group was 2.5%and that of the control group was 6.4%.The differences were statistically significant(P<0.05).In the observation group,15 patients with scar hyperplasia,the incidence rate was 5.4%,and the average VSS score of the patients with scar hyperplasia was(6.27±1.03),while in the control group,33 patients with scar hyperplasia,the incidence rate was 11.1%,the average VSS score was(7.79±1.85),and the differences were statistically significant(P<0.05).The percentage of satisfied,relatively satisfied and dissatisfied patients in the observation group was 66.8%,26.4%,6.9%respectively,and that in the control group was58.2%,25.3%,16.5%respectively,with a statistical significant difference(P<0.05).Conclusion Self-made negative pressure drainage devices can shorten the hospitalization period,reduce complications,reduce scar hyperplasia,and do not affect the healing of the surgical site after plastic sur

关 键 词：自制式负压引流装置 面部严重创伤 整形修复 

分 类 号：R622[医药卫生—整形外科]