皮肤软组织扩张术在深Ⅱ度烧伤后瘢痕修复中的应用效果分析(1)
[摘要]目的：探讨皮肤软组织扩张术修复深Ⅱ度烧伤后瘢痕的应用效果。方法：选取笔者医院2014年2月-2016年4月收治的Ⅱ度烧伤后瘢痕修复患者120例，并随机分为观察组和对照组，每组60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，比较两组患者总有效率、感染率、创面愈合时间、创面皮肤恢复血运时间及疼痛评分等指标。结果：治疗后观察组总有效率为95.0%明显优于对照组的83.3%，差异有统计学意义(P<0.05)。两组患者经治疗后，观察组创面愈合时间、创面皮肤血运恢复时间、疼痛评分及感染率均明显少于对照组，差异有统计学意义(P<0.05)。结论：在烧伤后瘢痕整形修复中，皮肤软组织扩张术的效果明显优于复合皮移植术，可减少患者疼痛和感染率，提高临床总有效率，值得临床推广应用。
[关键词]皮肤软组织扩张术；复合皮移植术；深Ⅱ度烧伤；瘢痕畸形；整形修复
[中图分类号]R619+.6 [文献标志码]A [文章编号]1008-6455(2018)09-0042-02
, 百拇医药
Analysis of the Effect of Skin Soft Tissue Expansion in the Repair of Scars after Deep Second Degree Burn
PENG Juan-juan，XIE Xin-lan，ZHUO Xing-feng
(Department of Outpatient，Nanjing General Hospital of Nanjing Military Area，Nanjing 210002，Jiangsu，China)
Abstract： Objective To study the application of skin soft tissue expansion in repairing scar after deep second degree burns. Methods A total of 120 patients with scar after second degree burn treated in our hospital from February 2014 to April 2016 were selected， they were randomly divided into the observation group and the control group， 60 cases in each group. The Patients in the observation group were treated with skin and soft tissue expansion. The patients in the control group were treated with composite skin grafting. The total effective rate， infection rate， wound healing time， wound skin revascularization time and pain score were compared between the two groups. Results After treatment， the total effective rate of the observation group was 95.0%， which was significantly better than that of the control group(83.3%)， the difference was statistically significant(P<0.05). The wound healing time， skin blood circulation recovery time， pain score and infection rate of the observation group were significantly less than those of the control group(P<0.05). Conclusion In the plastic repair of burn scar， the effect of skin and soft tissue expansion is obviously better than composite skin grafting， which can reduce the pain and infection rate of patients， improve the total clinical efficiency， and is worthy of clinical application.
, 百拇医药
Key words： skin and soft tissue expansion； composite skin grafting； deep second degree burn； scar deformity； plastic repair
皮膚软组织扩张术是一种新型技术，目前广泛应用于临床[1]。该技术主要利用人体的代偿能力，通过压力使皮肤软组织扩张来得到额外皮肤软组织进行皮肤缺损修复等[2]。因获得的皮肤软组织较复合皮更接近正常皮肤，而容易被患者接受[3]。本研究通过对笔者医院收治的120例深Ⅱ度烧伤后整形患者，分别采取软组织皮肤扩张术和复合皮移植术进行治疗，比较其疗效，现将结果报道如下。
1 资料和方法
1.1 一般资料：选取2014年2月-2016年4月笔者医院收治的深Ⅱ度烧伤后瘢痕修复患者120例作为研究对象，所有患者经临床诊断均为深Ⅱ度烧伤后创面，排除有严重器官功能衰竭、严重凝血功能障碍者。随机分为观察组与对照组，每组各60例。观察组：男32例，女28例；年龄20～46岁，平均(32.5±2.7)岁；瘢痕部位：头颈部瘢痕12例，颈胸部瘢痕11例，四肢瘢痕37例。对照组：男34例，女26例；年龄22～49岁，平均(34.1±1.8)岁；瘢痕部位：头颈部瘢痕13例，颈胸部瘢痕12例，四肢瘢痕35例。两组患者性别、年龄等一般资料方面比较，差异无统计学意义(P>0.05)。, 百拇医药(彭娟娟 谢欣兰 卓兴峰)
[关键词]皮肤软组织扩张术；复合皮移植术；深Ⅱ度烧伤；瘢痕畸形；整形修复
[中图分类号]R619+.6 [文献标志码]A [文章编号]1008-6455(2018)09-0042-02
, 百拇医药
Analysis of the Effect of Skin Soft Tissue Expansion in the Repair of Scars after Deep Second Degree Burn
PENG Juan-juan，XIE Xin-lan，ZHUO Xing-feng
(Department of Outpatient，Nanjing General Hospital of Nanjing Military Area，Nanjing 210002，Jiangsu，China)
Abstract： Objective To study the application of skin soft tissue expansion in repairing scar after deep second degree burns. Methods A total of 120 patients with scar after second degree burn treated in our hospital from February 2014 to April 2016 were selected， they were randomly divided into the observation group and the control group， 60 cases in each group. The Patients in the observation group were treated with skin and soft tissue expansion. The patients in the control group were treated with composite skin grafting. The total effective rate， infection rate， wound healing time， wound skin revascularization time and pain score were compared between the two groups. Results After treatment， the total effective rate of the observation group was 95.0%， which was significantly better than that of the control group(83.3%)， the difference was statistically significant(P<0.05). The wound healing time， skin blood circulation recovery time， pain score and infection rate of the observation group were significantly less than those of the control group(P<0.05). Conclusion In the plastic repair of burn scar， the effect of skin and soft tissue expansion is obviously better than composite skin grafting， which can reduce the pain and infection rate of patients， improve the total clinical efficiency， and is worthy of clinical application.
, 百拇医药
Key words： skin and soft tissue expansion； composite skin grafting； deep second degree burn； scar deformity； plastic repair
皮膚软组织扩张术是一种新型技术，目前广泛应用于临床[1]。该技术主要利用人体的代偿能力，通过压力使皮肤软组织扩张来得到额外皮肤软组织进行皮肤缺损修复等[2]。因获得的皮肤软组织较复合皮更接近正常皮肤，而容易被患者接受[3]。本研究通过对笔者医院收治的120例深Ⅱ度烧伤后整形患者，分别采取软组织皮肤扩张术和复合皮移植术进行治疗，比较其疗效，现将结果报道如下。
1 资料和方法
1.1 一般资料：选取2014年2月-2016年4月笔者医院收治的深Ⅱ度烧伤后瘢痕修复患者120例作为研究对象，所有患者经临床诊断均为深Ⅱ度烧伤后创面，排除有严重器官功能衰竭、严重凝血功能障碍者。随机分为观察组与对照组，每组各60例。观察组：男32例，女28例；年龄20～46岁，平均(32.5±2.7)岁；瘢痕部位：头颈部瘢痕12例，颈胸部瘢痕11例，四肢瘢痕37例。对照组：男34例，女26例；年龄22～49岁，平均(34.1±1.8)岁；瘢痕部位：头颈部瘢痕13例，颈胸部瘢痕12例，四肢瘢痕35例。两组患者性别、年龄等一般资料方面比较，差异无统计学意义(P>0.05)。, 百拇医药(彭娟娟 谢欣兰 卓兴峰)
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