复合皮移植与皮肤软组织扩张术在烧伤整形治疗中的疗效分析

Analysis of the Efficacy of the Composite Skin Grafting and Skin Soft Tissue Expansion in the Treatment of Burn Plastic Surgery

目的探讨复合皮移植与皮肤软组织扩张术在烧伤整形治疗中的疗效分析。方法收集我院2014年1月至2017年1月收治的烧伤整形患者96例,根据所行术式,分为扩张组和移植组,扩张组48例患者行皮肤软组织扩张术,移植组48例患者行复合皮移植术,比较两组患者的创面愈合时间、创面恢复血运时间、临床疗效的总有效率及并发症发生率。结果与移植组患者相比,扩张组患者的创面愈合时间、创面恢复血运时间均明显更短,临床疗效的总有效率(95.8%)明显更高,术后并发症发生率(4.2%)明显更低,组间差异具有统计学意义(P<0.05)。结论相比复合皮肤移植术,皮肤软组织扩张术在烧伤整形的治疗中,临床疗效更佳,术后皮肤愈合更快,且术后并发症发生率更低,安全性更高。

Objcetive To determine the efficacy of the composite skin grafting and skin soft tissue expansion in the treatment of burn plastic surgery. Methods 96 patients with burn plastic surgery in our hospital from January 2014 to January 2017 were collected. According to the operation type, cases were divided into the expansion group and the transplantation group, 48 cases in the expansion group were treated with skin soft tissue expansion, 48 cases in the transplantation group were treated with composite skin graft. The wound healing time, the recovery time of blood loss, the total effective rate and complication rate were compared between the two groups. Results Compared with the transplantation group, wound healing time, the expansion of patients with wound revascularization time were significantly shorter, the total efficacy rate（95.8%） was significantly higher, the incidence of postoperative complications was significantly lower（4.2%）, a statistically significant difference between the groups（P〈0.05）. Conclusion Compared with the composite skin graft, skin soft tissue expansion in the treatment of burns and plastic surgery in the clinical efficacy, postoperative skin healing faster, and lower incidence of postoperative complications, high safety, worthy of further clinical application