[1]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4-8.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(03):4-8.
点击复制

 皮肤软组织扩张术埋置注液期并发症危险因素研究
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年03期
页码:
4-8
栏目:
出版日期:
2018-04-10

文章信息/Info

Title:
 Risk Factors of Complications after Tissue Expasion
文章编号:
1008-6455（2018）03-0004-05
作者:
 祝闽辉1; 张栋梁2; 叶祥柏1; 马显杰2; 郭树忠3
Author(s):
 ZHU Min-hui1; ZHANG Dong-liang2; YE Xiang-bo1; MA Xian-jie2; GUO Shu-zhong3
关键词:
 ; [关键词]软组织扩张术; 并发症; 危险因素; 感染; 扩张器外露; 扩张容积
Keywords:
 ; Key words: soft tissue expansion;  complications;  risk factors;  infection;  expander exposure;  the volume of expander
分类号:
R622
文献标志码:
A
摘要:

[摘要]目的：回顾性分析既往就诊病例资料，探寻软组织扩张术埋置注液期并发症发生的独立危险因素，为降低并发症发
生率提供指导。方法：收集并统计西京医院整形外科2003年1月-2012年12月行皮肤软组织扩张术患者的临床资料，行单因
素Logistic回归分析进行比较，寻找潜在危险因素，将P ＜0.1的变量引入多因素Logistic回归分析模型，进行Backward
Conditional逐步回归分析，P ＜0.05视为独立危险因素。结果：共2 056人次3 382枚扩张器纳入本课题，埋置注液期共439
枚扩张器产生并发症，并发症发生率为13.0%，各类并发症中以感染与扩张器外露居多，分别为177枚（5.2%）、175枚
（5.2%），其后分别为血肿100枚（3.0%），皮肤坏死83枚（2.5%），切口裂开24枚（0.7%），各类扩张器原因需处理者19
枚（0.6%），其他特殊类型并发症为面神经功能障碍者2例。经统计分析发现扩张器共置数、扩张器埋置部位与扩张器容积
是并发症发生的独立危险因素。结论：并发症的独立危险因素为扩张器共置数、扩张器埋置部位与扩张器容积，单次手术扩
张器埋置数越多、手术部位为面颈部及扩张器扩张容积过大时，软组织扩张术发生并发症的可能性越大，本研究对降低并发
症发生具有重要的临床参考意义。

Abstract:

Abstract: Objective To explore the independent risk factors of complications occurring during the burial period of soft tissue
expansion, and to provide guidance for reducing the incidence of complications. Methods Medical Records of patients
who were undergoing the soft tissue expansion at the department of plastic surgery of Xijing Hospital from January 2003 to
December 2012 was collected. Univariate associations with complictions were measured by Logistic regression and represented
as odds ratios. The P-value less than 0.1 was identified the potential risk factor. Multivariate Logistic regression was used to
calculate odds ratios for risk factors of complications. Independent risk factors were identified if the P-value was less than 0.05.
Results A total of 3382 expanders in 2056 patients were included in the study. The overall complication rate of tissue expansion
was 13.0% in 439 expanders. The most common complications were infection(5.2%) and expander exposure(5.2%), followed
by hematoma(3.0%), cutaneous necrosis(2.5%), wound dehiscence(0.7%), implant leak and others. Multivariate Logistic
regression found that numbers of expander implanted, operative site and volume of expander were independent risk factors of
complications. Conclusion Independent risk factors of complications were numbers of expander implanted, operative site and
volume of expander. The more numbers of expander implanted, the operative site being facial part and cervicalregion and the
bigger volume of exdander, the more possibility complications occurred. The result is important to instruct clinical work and
reduce the incidence of complications.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(03):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(03):1.
[3]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(03):9.
[4]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(03):12.
[5]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(03):15.
[6]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(03):18.
[7]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(03):21.
[8]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(03):24.
[9]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(03):27.
[10]姚卫君,张建文,刘林嶓. Body Tite黄金微针射频治疗腋臭的临床研究[J].中国美容医学,2018,(03):29.
　YAO Wei-jun,ZHANG Jian-wen,LIU Lin-bo.[J].Medical Aesthetics and Beauty,2018,(03):29.

更新日期/Last Update: 2018-05-24