手术联合药物治疗口周瘢痕27例临床观察

Clinical Observation of 27 Perioral Burned Scar Cases Treated with Operation Combined with Intracutaneous Triamcinolone Acetonide Injection

目的：观察手术加药物治疗口周瘢痕的临床效果。方法：我院烧伤整形科采用手术加药物治疗口周瘢痕27例,采用全厚皮植皮术加术后皮内去炎松-A（曲安萘德）注射。结果：经6-26月随访观察,2例失访。22例取得良好的效果,愈合创面平整,瘢痕增生少,口唇鼻部功能恢复好,外形满意,色泽反差随手术后时间延长逐渐减小。3例病人因为药物治疗疗程不足,局部功能恢复较差。结论：全厚皮植皮术加术后皮内去炎松-A（曲安萘德）注射治疗面部局部瘢痕是一种简单有效、病人容易接受的方法,值得临床推广。

Objective： To evaluate the effect of using full - thickness grafts transplantation combined with intracutaneous injection with triamcinolone acetonide for perioral burned scar. Methods： After releasing the scar, to cover the wound with full thickness grafts, and to intracutaneous inject with triamcinolone acetonide underwent after operation 1 - 2 weeks. Results：The follow - up ranged from 6 to 26 months in 25 cases with 2 in loss. Except for 3 patients, who short the duration of operative intracutaneous injection with triamcinolone acetonide, the other 22 patients were successful . Conclusion： The method of using full - thickness grafts transplantation combined with intracutaneous injection with triamcinolone acetonide for perioral burned scar is simple and effective.