中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
4期
179-181
,共3页
皮肤烧伤瘢痕%皮瓣修复%股前外侧%腹股沟%疗效
皮膚燒傷瘢痕%皮瓣脩複%股前外側%腹股溝%療效
피부소상반흔%피판수복%고전외측%복고구%료효
Burnt scars of skin%Flap repairing%Femoral anterolateral%Groin%Curative effect
目的：探讨不同皮瓣用于手及前臂皮肤烧伤瘢痕修复治疗的临床疗效。方法选择我院2011年6月~2013年4月间收治的60例手及前臂皮肤烧伤瘢痕患者作为观察对象，随机分为观察组和对照组。其中对照组30例，使用股前外侧皮瓣进行瘢痕修复治疗，观察组30例，使用腹股沟皮瓣进行瘢痕修复治疗，然后观察两组患者的皮瓣成活率，皮瓣断蒂时间，以及皮瓣下感染等并发症发生情况，并进行对比分析。结果经过分析显示，观察组患者治疗后的皮瓣成活率明显高于对照组，皮瓣断蒂时间明显短于对照组，皮瓣下感染发生率明显低于对照组，两组相比差异具有统计学意义（P＜0.05）。结论对于手及前臂皮肤烧伤瘢痕的修复治疗，使用腹股沟皮瓣的临床疗效明显比股前外侧皮瓣，成活率高，皮瓣断蒂时间短，并发症少，既安全，操作又简单，值得临床予以推广。
目的：探討不同皮瓣用于手及前臂皮膚燒傷瘢痕脩複治療的臨床療效。方法選擇我院2011年6月~2013年4月間收治的60例手及前臂皮膚燒傷瘢痕患者作為觀察對象，隨機分為觀察組和對照組。其中對照組30例，使用股前外側皮瓣進行瘢痕脩複治療，觀察組30例，使用腹股溝皮瓣進行瘢痕脩複治療，然後觀察兩組患者的皮瓣成活率，皮瓣斷蒂時間，以及皮瓣下感染等併髮癥髮生情況，併進行對比分析。結果經過分析顯示，觀察組患者治療後的皮瓣成活率明顯高于對照組，皮瓣斷蒂時間明顯短于對照組，皮瓣下感染髮生率明顯低于對照組，兩組相比差異具有統計學意義（P＜0.05）。結論對于手及前臂皮膚燒傷瘢痕的脩複治療，使用腹股溝皮瓣的臨床療效明顯比股前外側皮瓣，成活率高，皮瓣斷蒂時間短，併髮癥少，既安全，操作又簡單，值得臨床予以推廣。
목적：탐토불동피판용우수급전비피부소상반흔수복치료적림상료효。방법선택아원2011년6월~2013년4월간수치적60례수급전비피부소상반흔환자작위관찰대상，수궤분위관찰조화대조조。기중대조조30례，사용고전외측피판진행반흔수복치료，관찰조30례，사용복고구피판진행반흔수복치료，연후관찰량조환자적피판성활솔，피판단체시간，이급피판하감염등병발증발생정황，병진행대비분석。결과경과분석현시，관찰조환자치료후적피판성활솔명현고우대조조，피판단체시간명현단우대조조，피판하감염발생솔명현저우대조조，량조상비차이구유통계학의의（P＜0.05）。결론대우수급전비피부소상반흔적수복치료，사용복고구피판적림상료효명현비고전외측피판，성활솔고，피판단체시간단，병발증소，기안전，조작우간단，치득림상여이추엄。
Objective To explore the clinical curative effect of different skin flap for repairing the burnt scars of hands and forearm skin. Methods 60 cases with burnt scars of hands and forearm skin in our hospital from June 2011 to April 2013 were chosen as the research objects,who were randomly divided into the observation group and the control group.Of which 30 cases in the control group were treated with femoral anterolateral flap for repairing the burnt scars,while 30 cases in observation group were treated with groin flap for repairing the burnt scars,and then the survival rate of skin flap,flap broken time, and infection complications under the skin flap of patients in the two groups were observed,compared and analyzed. Results The analysis showed that the survival rate of skin flap of patients in the observation group after treatment was significantly higher than that in the control group, the flap broken time was significantly shorter, the incidence of infection under the skin flap was significantly lower, there were statistically significant differences between the two groups(P<0.05). Conclusion Compared with the femoral anterolateral flap for repairing the burnt scars of hands and forearm skin,the groin flap for repairing the burnt scars has better clinical efficacy,higher survival rate, shorter flap broken time,fewer complications,safe and simple operation,and it is worthy to be promotion in clinical.
