| 陈茜,徐靖宏,蒋金珩.皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩患者的疗效观察及术后随访分析[J].浙江中西医结合杂志,2019,29(11): |
| 皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩患者的疗效观察及术后随访分析 |
| Effect of subcutaneous tissue pedicled rhomboplasty on postoperative recurrence rate and quality of life in patients with scar contracture after burn |
| 投稿时间：2019-03-05 修订日期：2019-06-16 |
| DOI： |
| 中文关键词: 烧伤后瘢痕挛缩 皮下组织蒂菱形皮瓣成形术 游离皮片移植术 |
| 英文关键词:Scar contracture after burns, Subcutaneous pedicle rhomboid flap plasty, Free skin grafting |
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| 中文摘要: |
| 目的 观察并分析皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩患者的疗效及术后随访结果。方法 选取2015年2月～2018年1月我院收治的烧伤后瘢痕挛缩患者82例,根据手术方式分组,各41例。对照组施行游离皮片移植术,实验组施行皮下组织蒂菱形皮瓣成形术。统计两组皮瓣成活率、创面愈合时间和并发症发生率,并于术后随访1年,统计瘢痕挛缩复发率及患者生活质量(SF-36)。结果 (1)两组皮瓣全部成活；实验组创面愈合时间为7.78±2.22天,短于对照组(12.51±3.49天,P＜0.05)；实验组皮片坏死、出血、感染等并发症发生率为4.88%,低于对照组(24.39%,P＜0.05)；(2)术后随访1年,实验组无脱落病例,对照组脱落2例。实验组瘢痕挛缩复发率为2.44%,低于对照组(25.64%,P＜0.05)。实验组的SF-36评分在躯体疼痛、心理功能、生理职能方面均高于对照组(P＜0.05)。结论 皮下组织蒂菱形皮瓣成形术用于烧伤后瘢痕挛缩患者,有利于促进创面愈合,降低复发风险,加快康复进程,改善生活质量。 |
| 英文摘要: |
| Objective To investigate the effect of subcutaneous tissue pedicled flap valvuloplasty on postoperative recurrence rate and quality of life in patients with scar contracture after burn. Methods 82 cases of scar contracture after burns in our hospital from February 2015 to January 2018 were selected and divided into groups according to the operative method, 41 cases in each group. The control group was treated with free skin grafting, and the experimental group received subcutaneous pedicle rhomboid flap plasty. The survival rate, wound healing time and complications of the two groups were observed. Following up for 1 year after operation, the recurrence rate and quality of life (SF-36) of two groups were statistically analyzed. Results (1) The wound healing time in the experimental group was shorter than that in the control group (P < 0.05), and there was insignificant difference in the survival rate between the two groups. The incidence of complications such as necrosis, bleeding and infection in the experimental group was 4.88%, lower than that in the control group (24.39%, P < 0.05). (2) Follow up for 1 year after operation. The recurrence rate in the experimental group was 2.44%, which was lower than that in the control group (25.64%, P < 0.05). There was insignificant difference in SF-36 scores between the two groups before operation (P > 0.05). Compared with the control group, the physical pain, psychological function and physiological function of the experimental group were higher in the experimental group after the operation (P < 0.05). Conclusion The application of subcutaneous pedicle rhomboid flap plasty in patients with scar contracture after burns beneficial to reduce the risk of postoperative recurrence, accelerate the rehabilitation process and improve the quality of life. |
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