腔镜下扩张器置入术与传统手术方式治疗面颈部瘢痕的临床疗效观察

Clinical effect of endoscopic dilator implantation and traditional operation in the treatment of faciocervical scar

目的比较腔镜辅助下组织扩张器置入与开放式置入在烧伤后面颈部瘢痕畸形重建中的治疗效果。方法将80例面颈部瘢痕畸形患者随机分为腔镜组(n=40)和对照组(n=40)。比较两组的手术时间、术中出血量、术后引流量、并发症发生率、住院时间和完全扩张时间。结果与对照组相比,腔镜组的平均手术时间减少(t=8.09,P<0.05);术中出血量、术后引流量均小于对照组,差异有统计学意义(t=9.97、5.87,P<0.05);术后住院时间减少,差异有统计学意义(t=0.03,P<0.05)。与对照组相比,腔镜组的术后主要、次要并发症发生率低于对照组(χ^(2)=4.59、5.17,P<0.05),腔镜组水囊完全扩张的时间减少(t=3.29,P<0.05)。结论腔镜下面颈部组织扩张器的放置减少了手术时间、术后并发症发生率、住院时间和达到完全扩张的时间,改善了术后效果,值得推广。

Objective To compare the effect of cervical tissue expander implantation in the reconstruction of scar deformity after burn with open and endoscopic assistance.Methods 30 patients with faciocervical scar deformity were randomly divided into endoscopic group(n=40)and control group(n=40).The operation time,intraoperative blood loss,postoperative drainage,complication rate,hospital stay and complete expansion time were compared between the two groups.Results Compared with the control group,the average operation time of the endoscopic group was reduced(t=8.09,P<0.05);the intraoperative blood loss and postoperative drainage of the endoscopic group were less than those of the control group,the difference was statistically significant(t=9.97,5.87,P<0.05);the postoperative hospital stay was reduced,and the difference was statistically significant(t=0.03,P<0.05).Compared with the control group,the incidence of major and minor complications in the endoscopic group was lower than that in the control group(χ^(2)=4.59,5.17,P<0.05),and the time of complete expansion of water sac in the endoscopic group was reduced(t=3.29,P<0.05).Conclusion The placement of faciocervical tissue expander under endoscope can reduce the operation time,the incidence of postoperative complications,hospital stay and the time to complete expansion.It is worthy of promotion.