文章摘要
尹光迪,赵李平,汪凯,等.精细缝合与局部皮瓣在面部外伤修复中的应用[J].安徽医药,2018,22(5):868-870.
精细缝合与局部皮瓣在面部外伤修复中的应用
Application of local flaps and subtle suture techniques in restoration of facial trauma
投稿时间:2016-08-20  
DOI:
中文关键词: 面部外伤  精细缝合  局部皮瓣
英文关键词: facial trauma  subtle suture  local flap
基金项目:
作者单位E-mail
尹光迪 安徽省立医院烧伤整形科,安徽 合肥 230001  
赵李平 安徽省立医院烧伤整形科,安徽 合肥 230001 zhlipl6@yahoo.com.cn 
汪凯 安徽省立医院烧伤整形科,安徽 合肥 230001  
王明刚 安徽省立医院烧伤整形科,安徽 合肥 230001  
杜晓扬 安徽省立医院烧伤整形科,安徽 合肥 230001  
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中文摘要:
      目的 探讨精细缝合与局部皮瓣在修复面部外伤中的疗效,总结分析其应用效果。 方法 面部外伤患者80例,分为观察组(40例)与对照组(40例),观察组采用精细缝合与局部皮瓣方式进行修复,对照组以传统缝合方式修复,分析两组患者伤口愈后瘢痕情况及患者满意度的区别。结果 术后3个月随诊患者满意度评分,观察组(89.21±5.45)分,对照组(64.84±7.36)分,观察组明显高于对照组(t=16.830,P<0.05),观察组和对照组瘢痕宽度[(0.68±0.47) vs(1.96±0.31) mm]、瘢痕评分[(0.72±0.63) vs(1.85±0.78)分]比较,差异有统计学意义(P<0.05)。 结论 对面部外伤采用精细缝合或应用局部皮瓣修复,能够有效减轻瘢痕形成,满足患者的美容要求。
英文摘要:
      Objective To investigate and evaluate the effects of local flaps and subtle suture techniques in facial trauma restoration,and to summarize and analyze its application. Methods Eighty cases of patients with facial trauma were assigned into two groups,experiment group and control group with 40 patients equally in each group.Local flaps and subtle suture was performed to the experiment group while conventional debridement and suture was provided to the control group.The status of wound scar and patients′ satisfaction were analyzed in both groups.Results Follow-up 3 months after operation,the patient satisfaction score of the observation group was (89.21±5.45) points,and the control group was (64.84±7.36) points,the patient satisfaction score in the observation group was significantly higher than that in the control group (t=16.830,P<0.05),and the scar width of the observation group and the control group [(0.68±0.47) vs (1.96±0.31) mm],the scar score of the observation group and the control group [(0.72±0.63) vs (1.85±0.78) points],the difference was statistically significant (P<0.05). Conclusions Application of local flaps and subtle suture techniques in facial trauma treatment may effectively reduce scar formation and maximize patients′ satisfaction.
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