CAJ | 학술논문

目的：：比较不同部位皮瓣移植对于颜面部不同类型皮肤软组织缺损的治疗疗效。方法：选取我科2012年1月至2013年12月因颜面部皮肤软组织缺损而进行皮肤软组织扩张术+皮瓣移植的患者共87例。其中I型缺损44例，进行面部皮肤软组织扩张术+皮瓣移植；II型缺损43例，进行胸部皮肤软组织扩张术+皮瓣移植。比较两组患者术后移植部位一般情况和并发症发生率。结果：两组患者在术后移植部位外观色泽、肌肉收缩、I期修复创面率和毛发生长情况方面差异无统计学意义(P>0．05)。两组患者在术后出血、感染、瘀斑、皮肤坏死、切口裂开并发症发生率方面差异无统计学意义(P>0．05)。产生上述并发症患者急诊予以清创、引流、抗生素等治疗后，予以二次手术，二次手术术后所有患者未再次发生并发症。结论：根据不同类型的颜面部软组织缺损，合理选择并采取不同的手术方案，对于患者的临床疗效无显著差异，能有效改善患者预后。
목적：：비교불동부위피판이식대우안면부불동류형피부연조직결손적치료료효。방법：선취아과2012년1월지2013년12월인안면부피부연조직결손이진행피부연조직확장술+피판이식적환자공87례。기중I형결손44례，진행면부피부연조직확장술+피판이식；II형결손43례，진행흉부피부연조직확장술+피판이식。비교량조환자술후이식부위일반정황화병발증발생솔。결과：량조환자재술후이식부위외관색택、기육수축、I기수복창면솔화모발생장정황방면차이무통계학의의(P>0．05)。량조환자재술후출혈、감염、어반、피부배사、절구렬개병발증발생솔방면차이무통계학의의(P>0．05)。산생상술병발증환자급진여이청창、인류、항생소등치료후，여이이차수술，이차수술술후소유환자미재차발생병발증。결론：근거불동류형적안면부연조직결손，합리선택병채취불동적수술방안，대우환자적림상료효무현저차이，능유효개선환자예후。
Objective:To compare the curative effects of different parts of the skin flap transplantation for facial ministry differ-ent types of skin and soft tissue defects. Methods:From January 2012 to December 2012,87 cases had skin soft tissue expansion tech-nique and skin flap transplantation in our hospital to treat facial skin and soft tissue defects. 44 cases with Type I defects had facial skin soft tissue dilatation and skin flap transplantation, while 43 cases with Type II defects had chest skin soft tissue expansion and flap transplantation. General postoperative condition of graft site and the incidence of complications were compared. Results:Two groups of patients had no significant difference in postoperative graft site appearance color, muscle contraction, phase I recovery rate and hair growth (P>0. 05). Two groups of patients with postoperative bleeding,infection,skin necrosis,ecchymos and incision dehiscence com-plications had no significant difference (P>0. 05). Patients with above mentioned complications were treated with emergency debride-ment,drainage,antibiotics and secondary operation. All patients with secondary surgery had no complications again. Conclusion:Based on the different types of facial soft tissue defects,reasonably choosing and taking different operation schemes can effectively improve the prognosis and had no significant difference in clinical curative effect.