严重颏胸瘢痕粘连分期手术73例

TWOSTAGE OPERATION IN THE TREATMENT OF SEVERE CICATRICIAL ADHESION ON SUBMENTALTHORACIC REGION

为减少手术危险性，彻底松解瘢痕，减少术后复发，１９９４年２月～１９９７年３月，对严重颏胸粘连７３例患者，行瘢痕松解切除后延迟植皮术。术后所植皮片全部成活，颈部松解良好，颏颈角生理角度恢复，随访６个月～３年，１例复发。认为，颏胸瘢痕粘连分期手术，降低了手术危险性，有利于颈前挛缩软组织的松解，有利于皮片的成活及减少术后挛缩复发。二次手术间隔以２天～３天为宜，且不会增加创面的感染。缺点是分期手术增加了患者的痛苦、住院天数及费用。

In order to decrease the risk of operation, complete release of scar tissue and reduce the recurrence after operation, from February 1994 to March 1997, seventythree cases of severe cicatricical adhesion on the submentalthoracic region were treated with release and resection of scar tissue, and delay skin graft. The grafted skin was survived completely after operation. The result from the release of scar tissue of the cervical region was good. The physiological angle of submentalthoracic angle was recovered. It was thought that twostage operation for submentalthoracic cicatricial adhesion would decrease the risk of operation and be advantageous to the release of contracted soft tissue of anterior cervical region and reduce the recurrence of contracture. The interval between the two stages of the operation was 2 to 3 days, which did not increase the rate of infection of the wound. The shortcomings including increase of pain to patient and prolong the time in hospital.