会阴部瘢痕挛缩畸形26例整形治疗

Treating 26 cases of Perineal Scar Contracture Deformity with Plastic Surgery

目的:讨论、总结会阴部瘢痕挛缩畸形整形治疗的经验。方法:我科自1997年以来对26例会阴部瘢痕挛缩畸形患者进行了整形治疗,术前强调肠道清洁和局部瘢痕清洗;术中根据瘢痕挛缩畸形的具体情况,联合采用局部皮瓣及中厚皮片移植11例,全厚皮片移植13例,单纯用局部皮瓣移植2例;术后注意保持创面的清洁干燥和进行及时有效的功能锻炼。结果:患者在接受整形治疗后,形态、功能均获得良好恢复。结论:根据会阴部瘢痕挛缩畸形的特殊性,重视术前准备及术后处理,合理设计、选择手术方法,才能够获得满意的治疗效果。

Objective： To share the experience obtained in treating perineal scar contracture deformity with plastic surgery. Methods： 26 cases of perineal scar contraeture deformity have been treated with plastic surgery since 1997. Intestinal cleaning and local scar washing of pre - operation were required and emphasized. 11 of 26 eases were treated with local flap transfer or intermediate split thickness skin grafting; 13 cases were treated with full - thickness skin grafting and 2 cases were treated with simple local flap grafting. It was necessary to keep wounds cleaning and drying, and to do effective functional exercises timely after surgery operation. Results： There was a satisfactory recovery both in appearance and function for all the patients after the plastic and reconstructive therapy. Conclusion ： Because specificity of perineal sears contraeture deformity, it should be paid attention to do preoperative preparation, postoperative management, reasonable protocol design and selection of operation so as to obtain a satisfactory effect.