中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
17期
15-16
,共2页
口腔颌面部%烧伤畸形%自体皮瓣移植
口腔頜麵部%燒傷畸形%自體皮瓣移植
구강합면부%소상기형%자체피판이식
Oral and maxillofacial%Burns deformity%Autologous skin flap transplantation
目的：探讨口腔颌面部烧伤畸形采用不同自体皮瓣移植的效果。方法：口腔颌面部烧伤畸形患者42例根据随机抽签原则分为治疗组与对照组各21例，都采用自体皮瓣移植治疗，对照组皮瓣来自左大腿，治疗组皮瓣来自左前臂。结果：治疗组的皮瓣成活率为95．2％，对照组为85．7％，治疗组的皮瓣成活率稍高于对照组（P＞0．05）。经过观察，治疗组的疼痛、外貌、吞咽、咀嚼、语言高于对照组，但是对比差异无统计学意义（P＞0．05）。结论：自体皮瓣修复口腔颌面部烧伤畸形是较好的手术方法，源自左大腿和左前臂皮瓣均具有较好疗效，值得推广。
目的：探討口腔頜麵部燒傷畸形採用不同自體皮瓣移植的效果。方法：口腔頜麵部燒傷畸形患者42例根據隨機抽籤原則分為治療組與對照組各21例，都採用自體皮瓣移植治療，對照組皮瓣來自左大腿，治療組皮瓣來自左前臂。結果：治療組的皮瓣成活率為95．2％，對照組為85．7％，治療組的皮瓣成活率稍高于對照組（P＞0．05）。經過觀察，治療組的疼痛、外貌、吞嚥、咀嚼、語言高于對照組，但是對比差異無統計學意義（P＞0．05）。結論：自體皮瓣脩複口腔頜麵部燒傷畸形是較好的手術方法，源自左大腿和左前臂皮瓣均具有較好療效，值得推廣。
목적：탐토구강합면부소상기형채용불동자체피판이식적효과。방법：구강합면부소상기형환자42례근거수궤추첨원칙분위치료조여대조조각21례，도채용자체피판이식치료，대조조피판래자좌대퇴，치료조피판래자좌전비。결과：치료조적피판성활솔위95．2％，대조조위85．7％，치료조적피판성활솔초고우대조조（P＞0．05）。경과관찰，치료조적동통、외모、탄인、저작、어언고우대조조，단시대비차이무통계학의의（P＞0．05）。결론：자체피판수복구강합면부소상기형시교호적수술방법，원자좌대퇴화좌전비피판균구유교호료효，치득추엄。
Objective:To explore the effects of autologous skin flap transplantation on treating oral and maxillofacial burns deformity . Methods:42 cases oral and maxillofacial burns deformity patients were divided into treatment group and control group , with 21 cases in each group.All patients were treated with autologous skin flap transplantation .The skin flap of control group was derived from thigh , and that of treatment group was derived from left forearm .Results:The skin flap survival rate of treatment group was 95.2%, a little higher than that of control group (85.7%) (P>0.05).All of the symptoms of treatment group , including pain, appearance, swallowing, che-wing and language, behaved a little better than control group , but there was no statistically significant difference (P>0.05).Conclu-sions:Autologous skin flap transplantation is a good choice to treat oral and maxillofacial burns deformity , and it is better to choose appro-priate skin flap according to patient's condition.
