A型肉毒毒素联合减张压迫法在面部整形美容切口中的应用

Botulinum toxin type A combined with relaxation and repression in the facial plastic surgery incision

目的:探讨A型肉毒毒素联合减张压迫法在面部整形美容切口中的应用效果。方法:随机选择30例面部整形美容手术治疗患者作为治疗组,另外选择30例为对照组,其中治疗组患者行整形美容术后即给予A型肉毒毒素注射并于拆线后用3M免缝胶布减张压迫切口,对照组术后不予A型肉毒毒素注射,拆线后即终止治疗。术后9个月对患者进行随访,并对术后切口进行评价,作统计学分析。结果:60例患者切口均为一期愈合。治疗组25例(83.3%)患者切口愈合为成熟期瘢痕,对治疗十分满意;5例(16.7%)患者切口瘢痕稍增宽,对治疗不太满意;治疗组患者表情均完全恢复,未发生A型肉毒毒素注射并发症。对照组仅7例(23.3%)患者切口为基本成熟瘢痕,对切口瘢痕较满意;23例(76.7%)患者切口瘢痕增宽,对治疗不太满意。结论:通过A型肉毒毒素联合减张压迫法在面部整形美容切口中的应用,术后切口愈合理想,患者满意度高,以期更好地促进整形美容术后切口的愈合并防治瘢痕增生。

Objective To evaluate the efficacy of botulinum toxin type A combined with relaxation and repression in the facial plastic surgery incision.Methods 30 cases of facial cosmetic surgery patients were randomized to treatment,the other 30 cases as control groups.Patients in the the treatment group were gived injections of botulinum toxin type A after plastic surgery and applied skin closure strips to their scars once the sutures were removed.Patients in the control group received no postoperation intervention.Scars of the patients were followed up after 9 months and evaluated for statistical analysis.Results All the incisions were one-stage healing.83.3% of the treatment group developed mature scars compared with 23.3% in the control group.Face of the patients in the treatment group were completely restored and did not occur complications of botulinum toxin type A.Conclusion By botulinum toxin type A combined with relaxation and repression in the facial plastic surgery incision,the wound healed ideally and the patients were satisfied.It is in order to better promote wound healing after plastic surgery and scar prevention.