面部外伤急诊修复160例分析

Analysis of 160 cases of emergency repaired facial trauma

[目的]比较面部外伤急诊清创时采用整形修复与普通修复方法的效果。[方法]自2003年以来，对160例面部外伤患者采用整形修复及普通修复，分组进行比较，分析结果。[结果]两组的治疗结果差异显著（P〈0．05）。整形修复除有较大皮肤软组织缺损经Ⅱ期修复愈合外，所有伤口均获Ⅰ期愈合，无感染发生，瘢痕不明显。术后0．5～2年随访，创伤处均无瘢痕增生、萎缩，周边器官移位畸形等情况出现。[结论]在面部外伤急诊清创时采用整形外科技术与普通修复相比效果更佳，可以最大限度地恢复容貌，避免或减少二次手术整形修复。

[Objective] Compare the results of facial trauma emergency repaired by plastic surgical method with common method [ Method] From 2003,160 cases of patients with facial trauma adopts plastic surgical repair and common repair,comparing by derided into two groups ,analyzing the results. [ Results] The treatment results of the two groups shows marked difference. （P 〈 0. 05）. In plastic surgical repair group,all wounds were healed at I stage except some cases with large skin and soft tissue defect which healed after Ⅱ stage repair, with no infection and the scar left was slim. By 0. 5 - 2 years follow - up after debridment, the healed wounds have no hypertrophy , no scar atrophy, no deformity caused by adjacent organ translocating. [ Conclusion] The result of plastic surgical repair is better than common repair when facial trauma is emergency managed. Using plastic surgery techniques can recover the facial appearance to the large extent . And it can avoid or decrease the second plastic surgical repair.