头面部烧伤后瘢痕修复中采用皮肤软组织扩张术的临床价值探讨

RESEARCHS ON THE VALUES OF SKIN SOFT TISSUE EXPANDERS IN THE REPAIR OF HEAD AND FACIAL SCAR DEFORMITY AFTER BURNS

目的对皮肤软组织扩张术在头面部烧伤后瘢痕修复中的应用价值进行分析探讨。方法将我院2013年1月~2015年3月收治的62例头面部烧伤需行瘢痕修复患者随机分为对照组与观察组,对照组31例患者行保守药物涂抹治疗,观察组31例患者行皮肤软组织扩张术治疗,对比两组患者的治疗效果及并发症发生率。结果观察组的治疗有效率为100%,对照组的治疗有效率为70.97%,观察组的治疗有效率明显高于对照组（P〈0.05）。两组患者的并发症发生率不具备显著性差异（P〉0.05）。结论在头面部烧伤后瘢痕修复中采用皮肤软组织扩张术具有皮肤颜色与正常肤色一致、美观、安全性高、术后效果满意度高等优点,是治疗头面部瘢痕患者的有效方法之一,术后效果较满意,在临床上值得推广应用。

Objective Explore the values of Skin Soft Tissue Expanders in the Repair of Head and face Scar Deformity after severe burns.. Methods To our department admitted 62 cases head and facial scar patients from2013.1to2015.3 randomly divided into the control group and observation grop.The 31 cases of patients in control group using conservative medical treatment, The 31 cases of patients in observation group using skin soft tissue expanders repair. Compare two groups of therapeutic effect and complications of patients. Results The effective rate of observation group 100%,the effective rate of control group 70.97%,there was significant difference（P0.05）.The incident of complications in both groups have no significant difference（P 0.05）.Conclusion Skin soft tissue expanders are treatment in facial and head scar is one of the effective methods,which havehigh safety and the skin color is consistent with the normal color of skin.it is worth of being generalized.