中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
3期
17-18
,共2页
面部外伤%急诊%整形外科
麵部外傷%急診%整形外科
면부외상%급진%정형외과
Facial trauma%Emergency%Plastic Surgery
目的 研究整形外科急诊修复治疗面部外伤的临床效果.方法 随机抽取郑州人民医院颐和医院2012年3月至2013年6月收治的面部创伤患者200例,对其进行整形外科急诊修复,先评估伤情,再视情况选择麻醉和修复方法,并在术前彻底清创,术后合理护理.术后随访1年,观察患者的术后并发症、功能修复以及瘢痕增生情况.结果 200例患者术后切口Ⅰ期愈合,无一例出现明显并发症.随访中共6例失访,余194例患者中63例(32.5％)术后无明显瘢痕,且组织无错位现象,愈合效果满意,仅9例患者存在明显瘢痕,需行二期修复.结论 急诊整形外科治疗面部外伤,既能有效恢复患者的面部功能,又能最大程度地恢复期形态,功能和美观兼顾,值得推广.
目的 研究整形外科急診脩複治療麵部外傷的臨床效果.方法 隨機抽取鄭州人民醫院頤和醫院2012年3月至2013年6月收治的麵部創傷患者200例,對其進行整形外科急診脩複,先評估傷情,再視情況選擇痳醉和脩複方法,併在術前徹底清創,術後閤理護理.術後隨訪1年,觀察患者的術後併髮癥、功能脩複以及瘢痕增生情況.結果 200例患者術後切口Ⅰ期愈閤,無一例齣現明顯併髮癥.隨訪中共6例失訪,餘194例患者中63例(32.5％)術後無明顯瘢痕,且組織無錯位現象,愈閤效果滿意,僅9例患者存在明顯瘢痕,需行二期脩複.結論 急診整形外科治療麵部外傷,既能有效恢複患者的麵部功能,又能最大程度地恢複期形態,功能和美觀兼顧,值得推廣.
목적 연구정형외과급진수복치료면부외상적림상효과.방법 수궤추취정주인민의원이화의원2012년3월지2013년6월수치적면부창상환자200례,대기진행정형외과급진수복,선평고상정,재시정황선택마취화수복방법,병재술전철저청창,술후합리호리.술후수방1년,관찰환자적술후병발증、공능수복이급반흔증생정황.결과 200례환자술후절구Ⅰ기유합,무일례출현명현병발증.수방중공6례실방,여194례환자중63례(32.5％)술후무명현반흔,차조직무착위현상,유합효과만의,부9례환자존재명현반흔,수행이기수복.결론 급진정형외과치료면부외상,기능유효회복환자적면부공능,우능최대정도지회복기형태,공능화미관겸고,치득추엄.
Objective To study the clinical effect of facial plastic surgery on repairment of the emergency trauma.Methods Two hundred patients with facial trauma from March 2012 to June 2013 were selected,orthopedic emergency repair first assessment of the injury was given,and then depending on the choice of anesthesia and fix the situation and thoroughly cleaned before surgery,and given reasonable nursing post-operative.Patients were followed up for 1 year,and the postoperative complications,functional restoration and scar formation were observed.Results Operative incision of 200 cases were primary healing,with no significant complications.Six patients were lost to followed-up,of the rest 194 patients,63 patients (32.5％) without obvious scar tissue and no dislocation,the healing effect was satisfactory; 9 patients with obvious scar,need to repair again.Conclusions Emergency orthopedic treatment of facial trauma,can effectively restore the patient' s facial features,but also maximize the recovery form,function and aesthetics into account,it is worth promoting.
