皮肤软组织扩张术与游离皮瓣移植术修复头皮烧伤瘢痕疗效比较

Comparison of the effect of skin and soft tissue dilatation and free skin flap transplantation in the repair of scalp burn scar

目的对比分析皮肤软组织扩张术与游离皮瓣移植术修复头皮烧伤瘢痕的疗效。方法选取2017年8月至2019年8月本院收治的60例头皮烧伤瘢痕患者作为研究对象,随机分为两组,各30例。研究组行皮肤软组织扩张术,对照组行游离皮瓣移植术,比较两组手术疗效、外形美观满意度及并发症发生情况。结果研究组手术疗效(96.67%)优于对照组(73.33%),外形美观满意度(93.33%)高于对照组(66.67%),差异均有统计学意义(P<0.05);研究组并发症发生率(10.00%)略低于对照组(20.00%),但差异无统计学意义。结论使用皮肤软组织扩张术修复头皮烧伤瘢痕患者的疗效优于游离皮瓣移植术,可明显改善患者外形美观性,提高修复满意度,且并发症发生率较低,安全性较高,值得临床推广。

Objective To compare and analyze the efficacy of skin and soft tissue expansion and free skin flap transplantation in the repair of scalp burn scars.Methods 60 cases of scalp burn scar patients treated in our hospital from August 2017 to August 2019 were selected as study subjects and they were randomly divided into two groups,with 30 cases in each group.Skin and soft tissue dilatation was performed in the study group and free skin flap transplantation was performed in the control group.The surgical effect,aesthetic satisfaction and complications were compared between the two groups.Results The surgical efficacy of the study group(96.67%)was better than that of the control group(73.33%),and the satisfaction with aesthetic appearance(93.33%)was higher than that of the control group(66.67%),the difference was statistically significant(P<0.05).The complication rate in the study group(10.00%)was slightly lower than that in the control group(20.00%),but the difference was not statistically significant.Conclusion The effect of skin and soft tissue expansion in the repair of scalp burn scar is better than that of free flap transplantation.It can significantly improve the appearance of patients,improve repair satisfaction,and has low incidence of complications and high safety,which is worthy of clinical promotion.