[1]曾 进,储 颖. 瘢痕切除联合中厚皮移植整形手术对深Ⅱ度烧伤愈合后瘢痕畸形患者关节功能的影响分析[J].中国美容医学,2018,(05):55-57.
　ZENG Jin,CHU Ying. Effect of Scar Excision Combined with Plastic Surgery of Middle Thickness Skin on Joint Function in Patients with Deep Second Degree Burn Scar Deformity[J].Medical Aesthetics and Beauty,2018,(05):55-57.
点击复制

 瘢痕切除联合中厚皮移植整形手术对深Ⅱ度烧伤愈合后瘢痕畸形患者关节功能的影响分析
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年05期
页码:
55-57
栏目:
出版日期:
2018-06-10

文章信息/Info

Title:
 Effect of Scar Excision Combined with Plastic Surgery of Middle Thickness Skin on Joint Function in Patients with Deep Second Degree Burn Scar Deformity
文章编号:
1008-6455（2018）05-0055-03
作者:
 曾 进; 储 颖
Author(s):
 ZENG Jin; CHU Ying
关键词:
 ; [关键词]瘢痕畸形; 切除; 中厚皮移植整形手术; 深Ⅱ度烧伤; 关节功能
Keywords:
 ; Key words: scar deformity;  excision;  moderate thickness skin grafting plastic surgery;  deep second degree burn;  joint function
分类号:
R619+.6
文献标志码:
B
摘要:

[摘要]目的：探讨瘢痕切除联合中厚皮移植整形手术对深Ⅱ度烧伤愈合后瘢痕畸形患者关节功能的影响分析。方法：选取
2016年1月-2017年1月笔者医院接收的60例深Ⅱ度烧伤愈合后瘢痕畸形患者进行研究。按照随机数字表法，将其分成两组。
对照组采用常规治疗以及功能锻炼，观察组在对照组基础上采取瘢痕切除联合中厚皮移植整形手术以及功能锻炼。比较分
析两组患者的临床疗效、治疗后关节功能疗效恢复情况以及患者对治疗的满意程度。对观察组患者植皮成活率进行分析。
结果：两组患者经过治疗后，观察组临床有效率为100.00%显著高于对照组的76.67%，差异有统计学意义（P ＜0.05）。观
察组患者植皮存活植皮存活率均较高（96%以上），其中手部、肩部植皮成活率均高于98%。术后第6、12个月观察组患者的
关节功能恢复情况显著优于对照组，差异有统计学意义（P ＜0.05）。观察组患者对治疗的总满意率为96.67%高于对照组的
76.67%，差异有统计学意义（P ＜0.05）。结论：瘢痕切除联合中厚皮移植整形手术对深Ⅱ度烧伤愈合后瘢痕畸形患者关节
功能的恢复效果较好，患者植皮成活率较高，临床应用价值较高。

Abstract:

Abstrac: Objective To investigate the effect of car excision combined with moderate thickness skin grafting on joint function
in patients with deep second degree burn after scar formation. Methods 60 patients with scar deformity after deep second
degree burn healing in our hospital from January 2016 to January 2017 were studied. According to the random number table
method, divided into two groups. The control group received routine treatment and functional exercise. The observation group
received scar resection combined with middle thickness skin grafting, plastic surgery and functional exercise on the basis of
the control group. The clinical efficacy of the two groups of patients, the recovery of the curative effect after the treatment and
the satisfaction of the patients to the treatment were compared and analyzed. The survival rate of the patients in the observation
group was analyzed. Results Two groups of patients after treatment, the clinical effective rate of the observation group was
100.00%, significantly higher than that of the control group (76.67%) , the difference was statistically significant(P ＜0.05). The
survival rate of skin graft and survival grafts in the observation group were all higher (96% or more), and the survival rate of
hand and shoulder grafts was higher than 98%. After 6,12 months, the recovery of joint function in the observation group was
significantly better than that in the control group(P ＜0.05). The total satisfaction rate of the observation group was 96.67%,
which was higher than that of the control group (76.67%, P ＜0.05). Conclusion Cicatricial resection combined with medium
and thick skin graft is better for the recovery of joint function in patients with scar deformity after deep second degree burn, and
the survival rate of skin grafting is high and the clinical value is high.

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,(05):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,(05):1.
[3]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.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(05):4.
[4]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,(05):9.
[5]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,(05):12.
[6]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,(05):15.
[7]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,(05):18.
[8]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,(05):21.
[9]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,(05):24.
[10]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,(05):27.

更新日期/Last Update: 2018-07-11