医学信息
醫學信息
의학신식
Medical Information
2015年
44期
105-106
,共2页
丁晓斌%耿康%刘洪均%熊爱兵
丁曉斌%耿康%劉洪均%熊愛兵
정효빈%경강%류홍균%웅애병
皮肤组织扩张术%烧伤%整形手术%复合皮移植术
皮膚組織擴張術%燒傷%整形手術%複閤皮移植術
피부조직확장술%소상%정형수술%복합피이식술
Skin tissue expansion%Burn%Plastic surgery%Composite skin graft
目的观察探讨应用皮肤软组织扩张术联合毛囊单位提取技术治疗烧伤后瘢痕性秃发的临床疗效。方法选取我院2012年3月~2014年5月收纳的98例烧伤后瘢痕性秃发患者，按随机分配原则分为观察组和对照组，各49例，观察组烧伤后瘢痕性秃发患者，应用皮肤软组织扩张术联合毛囊单位提取技术治疗。对照组烧伤后瘢痕性秃发患者，应用常规传统复合皮移植术。观察两组患者治疗前后疗效，记录两组患者各自痊愈所需时间且观察治疗过程中是否出现不良反应。结果两组烧伤后瘢痕性秃发患者皮肤愈合时间对比，观察组明显短于对照组，有明显差异，具有统计学意义(<0.05)。观察组总有效率95.9%，对照组总有效率77.5%，观察组总有效率比对照组高，有明显差异，具有统计学意义(<0.05)。观察组不良反应发生率6.1%，对照组不良反应发生率22.4%，观察组不良反应发生率比对照组低，有明显差异，具有统计学意义(<0.05)。结论皮肤软组织扩张术联合毛囊单位提取技术治疗烧伤后瘢痕性秃发疗效显著，明显改善患者烧伤部位愈合情况速度，促进受损毛囊重建恢复，其临床选择优势较高，无严重不良反应，值得临床上进一步推广应用。
目的觀察探討應用皮膚軟組織擴張術聯閤毛囊單位提取技術治療燒傷後瘢痕性禿髮的臨床療效。方法選取我院2012年3月~2014年5月收納的98例燒傷後瘢痕性禿髮患者，按隨機分配原則分為觀察組和對照組，各49例，觀察組燒傷後瘢痕性禿髮患者，應用皮膚軟組織擴張術聯閤毛囊單位提取技術治療。對照組燒傷後瘢痕性禿髮患者，應用常規傳統複閤皮移植術。觀察兩組患者治療前後療效，記錄兩組患者各自痊愈所需時間且觀察治療過程中是否齣現不良反應。結果兩組燒傷後瘢痕性禿髮患者皮膚愈閤時間對比，觀察組明顯短于對照組，有明顯差異，具有統計學意義(<0.05)。觀察組總有效率95.9%，對照組總有效率77.5%，觀察組總有效率比對照組高，有明顯差異，具有統計學意義(<0.05)。觀察組不良反應髮生率6.1%，對照組不良反應髮生率22.4%，觀察組不良反應髮生率比對照組低，有明顯差異，具有統計學意義(<0.05)。結論皮膚軟組織擴張術聯閤毛囊單位提取技術治療燒傷後瘢痕性禿髮療效顯著，明顯改善患者燒傷部位愈閤情況速度，促進受損毛囊重建恢複，其臨床選擇優勢較高，無嚴重不良反應，值得臨床上進一步推廣應用。
목적관찰탐토응용피부연조직확장술연합모낭단위제취기술치료소상후반흔성독발적림상료효。방법선취아원2012년3월~2014년5월수납적98례소상후반흔성독발환자，안수궤분배원칙분위관찰조화대조조，각49례，관찰조소상후반흔성독발환자，응용피부연조직확장술연합모낭단위제취기술치료。대조조소상후반흔성독발환자，응용상규전통복합피이식술。관찰량조환자치료전후료효，기록량조환자각자전유소수시간차관찰치료과정중시부출현불량반응。결과량조소상후반흔성독발환자피부유합시간대비，관찰조명현단우대조조，유명현차이，구유통계학의의(<0.05)。관찰조총유효솔95.9%，대조조총유효솔77.5%，관찰조총유효솔비대조조고，유명현차이，구유통계학의의(<0.05)。관찰조불량반응발생솔6.1%，대조조불량반응발생솔22.4%，관찰조불량반응발생솔비대조조저，유명현차이，구유통계학의의(<0.05)。결론피부연조직확장술연합모낭단위제취기술치료소상후반흔성독발료효현저，명현개선환자소상부위유합정황속도，촉진수손모낭중건회복，기림상선택우세교고，무엄중불량반응，치득림상상진일보추엄응용。
Objective To observe the clinical ef ect of extraction technology for the treatment of Burn Scar Baldness after soft tissue expansion application of skin and hair fol icle unit. Methods In our hospital from 2012 March~2014 year in May 98 cases receiving the burn scar alopecia patients, randomly divided into observation group and control group, each 49 cases, observation group of patients with Burn Scar Baldness after application of skin soft tissue expansion operation combined with treatment of fol icular unit extraction technology. The control group of patients with Burn Scar Baldness after application of conventional composite skin graft. Observation of two groups of patients before and after treatment in two groups were recorded respectively, needed for cure time and whether adverse reactions were observed during the treatment. Results The time of cicatricial alopecia patients with skin healing in two groups after burn, the observation group was significantly shorter than the control group, there was significant dif erence, with statistical significance ( <0.05). The total ef iciency of the observation group 95.9%, control group total ef ective rate 77.5%, total ef ective rate of observation group is higher than that of the control group, there was significant dif erence, with statistical significance ( <0.05). The incidence of adverse reactions in 6.1%, the control group adverse reaction rate was 22.4%, the adverse reaction rate of observation group was lower than that of control group were significantly dif erent, with statistical significance ( < 0.05). Conclusion Skin soft tissue expansion operation combined with fol icular unit extraction of significant technique in treating burn scar baldness, significantly improve the healing rate of burn patients, promote the recovery and reconstruction of damaged hair, its clinical advantages of higher, no serious adverse reactions, it is worthy of clinical popularization and application.
