皮能快愈敷料修复额部软组织缺损疗效探讨

The Effect of Pelnac in Repair of Forehead Soft Tissue Defects

目的:观察在额部软组织缺损修复中应用皮能快愈敷料的效果及对患者额部美观的影响。方法:收集笔者医院2013年10月-2018年10月诊治的80例额部软组织缺损患者的临床资料,按不同修复方案分两组,每组40例。对照组行异体脱细胞真皮+自体刃厚皮片修复,观察组行皮能快愈敷料+自体刃厚皮片修复,比较两组修复效果、创面愈合时间、瘢痕评分情况及额部美观满意度。结果:观察组修复总有效率95.00%高于对照组的75.00%,差异有统计学意义(P<0.05)。观察组创面愈合时间(6.33±0.83)d少于对照组(10.45±1.87)d,差异有统计学意义(P<0.01)。随访3~6个月观察组瘢痕各项评分[色泽(1.12±0.43)分、血管(1.32±0.54)分、柔软性(1.12±0.44)分、厚度(1.24±0.76)分、疼痛(1.33±0.55)分及瘙痒(1.03±0.11)分]均低于对照组,差异有统计学意义(P<0.01)。观察组额部美观总满意度90.00%高于对照组70.00%,差异有统计学意义(P<0.05)。结论:额部软组织缺损采用皮能快愈敷料治疗效果显著,可有效修复缺损创面,加快创面愈合,减少瘢痕,并提高额部美观性,达到患者满意度。

Objective To observe the application effect of Pelnac in forehead soft tissue defect and its in fluence on patient’s forehead appearance.Methods 80 patients with forehead soft tissue defect who were admitted our hospital from October 2013 to October 2018 were selected and divided into two groups:the control group(allogenic acellular dermal matrix+autologous split-thickness skin repair,n=40),the observation group(Pelnac+autologous split-thickness skin repair,n=40).The repair effect,wound healing time,scar score and frontal aesthetic satisfaction were compared between the two groups.Results The total effective rate of the observation group was 95.00%,higher than that of the control group(75.00%),the difference was statistically significant(P<0.05).The wound healing time of the observation group was(6.33±0.83)d,shorter than that of the control group((10.45±1.87)d,P<0.01).Scar scores in the observation group[color(1.12±0.43),vessel(1.32±0.54),flexibility(1.12±0.44),thickness(1.24±0.76),pain(1.33±0.55)and itching(1.03±0.11)]were lower than those in the control group during 3 to 6 months follow-up(P<0.01).The total satisfaction rate of forehead aesthetics in the observation group was 90.00%higher than that in the control group(70.00%,P<0.05).Conclusion Pelnac is remarkably effective in treating forehead soft tissue defect.It can effectively repair defect wound,speed up wound healing,reduce scar formation,enhance forehead appearance and satisfy patients.