皮肤软组织扩张术应用于头面部烧伤整形中的价值研究

摘要

Objective: To investigate the skin and soft tissue expansion applied to the head and face burns and plastic surgery in value. Methods: July 2010 to March 2013 in our hospital 128 cases of patients with head and facial burns, burns in the head and face plastic surgery process to give skin and soft tissue expansion for treatment, evaluate the success rate of surgery, patient satisfaction and complications. Results: 119 cases of surgery was very successful, beautiful appearance, function was normal, the patient has a high degree of satisfaction. Success rate of 92.97%. Al patients intraoperative and postoperative complications in 12 cases. 3 cases of intraoperative bleeding situation and take ef ective measures to stop bleeding after the intervention healed; nine cases of patients with wound infection, wound dehiscence due to lead to surgical aborted. Conclusion:Soft tissue expansion technique in the application of the head and face burns and plastic surgery has a high clinical value.But during surgery, should pay special at ention to the prevention and treatment of complications.%目的：探讨皮肤软组织扩张术应用于头面部烧伤整形中的价值。方法选取2010年7月~2013年3月我院收治的128例头面部烧伤患者，在头面部烧伤整形手术过程中给予皮肤软组织扩张术进行治疗，评价手术的成功率、患者的满意度及并发症情况。结果有119例手术非常成功，外观美好，功能基本正常，患者具有较高的满意度。成功率为92.97%。所有患者术中及术后出现12例并发症。其中3例术中出现出血的情况，采取有效的止血措施进行干预后痊愈；9例患者出现切口感染，因切口裂开导致手术中止。结论软组织扩张技术在头面部烧伤整形中应用具有较高的临床价值。但是在手术过程中，应当特别注意对并发症的预防和治疗。