目的：：观察皮下组织蒂菱形皮瓣成形术治疗烧伤后疤痕挛缩患者的疗效。方法：选取70例烧伤后疤痕挛缩患者，随机分为对照组和观察组，每组各35例。对照组患者采用游离皮片移植术治疗，观察组患者采用皮下组织蒂菱形皮瓣成形术治疗。术后随访1年以上，对比分析两组患者皮瓣成活率、疤痕挛缩再发率、患者对手术效果满意程度。结果：两组患者的皮瓣成活率均为100.00%，差异无统计学意义(P>0.05)；观察组患者疤痕挛缩再发率明显低于对照组，而对手术效果满意率明显高于对照组，差异均有统计学意义(P<0.05)。结论：采用皮下组织蒂菱形皮瓣成形术治疗烧伤后疤痕挛缩患者的疗效优于游离皮片移植术疗效。%Objective: To observe effects of subcutaneous pedicle rhomboid flap plasty in treatment of scar contracture after burns. Methods:70 cases of scar contracture after burns were selected as the objects and randomly divided into control group (n=35) and observation group (n=35). The control group was treated by free flap grafting, while the observation group was treated by subcuta-neous pedicle rhomboid flap plasty. After the operation, the patients were followed-up for more than one year. The skin flap survival rate, scar contracture recurrence rate, and patients' satisfaction with the surgical effects of the two groups were compared. Results:The skin flap survival rates of the two groups were both 100. 00%, and there was no statistical difference (P>0. 05). The scar contrac-ture recurrence rate and patients' satisfaction with the surgical effects of observation group were significantly lower and higher than those of control group, respectively, and the differences were statistically significant (P<0. 05). Conclusions: The subcutaneous pedicle rhomboid flap plasty in the treatment of scar contracture after burns has better effects than free flap grafting.
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