[1]杨玉玲,吕德平,宋慧敏,等. 中厚皮移植修复深Ⅱ度烧伤瘢痕畸形的疗效分析及护理策略探讨[J].中国美容医学,2020,(6):88-90.
　 YANG Yu-ling,LV De-ping,SONG Hui-min,et al. The Analysis of the Curative Effect and Nursing Strategy of Repairing the ScarDeformity of Deep Second Degree Burn with Medium Thick Skin Transplantation[J].Medical Aesthetics and Beauty,2020,(6):88-90.
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 中厚皮移植修复深Ⅱ度烧伤瘢痕畸形的疗效分析及护理策略探讨
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年6期
页码:
88-90
栏目:
出版日期:
2020-06-10

文章信息/Info

Title:
 The Analysis of the Curative Effect and Nursing Strategy of Repairing the Scar
Deformity of Deep Second Degree Burn with Medium Thick Skin Transplantation
文章编号:
1008-6455（2020）06-0088-03
作者:
杨玉玲1; 吕德平1; 宋慧敏1; 田 超2
Author(s):
 YANG Yu-ling1; LV De-ping1; SONG Hui-min1; TIAN Chao2
关键词:
 [关键词]深Ⅱ度烧伤; 瘢痕畸形; 瘢痕切除术; 中厚皮移植; 围手术期护理; 关节功能
Keywords:
 Key words: deep second degree burns;  scar deformity;  scar resection;  medium thick skin transplantation;  perioperative nursing; joint function
分类号:
R619+.6
文献标志码:
A
摘要:
[摘要]目的：分析中厚皮移植在深Ⅱ度烧伤瘢痕畸形整复中的疗效，并总结围术期护理体会。方法：回顾性分析2017年1
月-2018年12月68例（86个关节）深Ⅱ度烧伤瘢痕畸形整复患者临床资料，所有患者给予瘢痕切除+中厚皮移植整形+功能锻
炼，记录患者术后各关节创面植皮存活率及其术前、术后1个月、3个月、6个月、12个月瘢痕情况[温哥华瘢痕量表（Vancouver
scar scale，VSS）进行评定]，统计术后6个月、12个月关节功能恢复效果，总体评价术后12个月临床疗效。结果：68例患
者86个关节创面植皮存活率为92.5%～100.0%，平均（96.86±3.25）%；患者术后1个月、3个月、6个月、12个月VSS评分均
呈下降趋势，且均显著低于术前（P ＜0.05）；术后6个月、术后12个月关节功能恢复优良率达93.02%、98.84%；术后12个月
治疗总有效率达100.00%。结论：中厚皮移植整形术用于深Ⅱ度烧伤瘢痕畸形整复患者，能有效促进术后恢复、改善患者关
节功能，具有较好的远期疗效，且有效的围术期护理在保障植皮存活、促进患者恢复等方面具有重要意义。

Abstract:
Abstract: Objective To analyze the efficacy of medium thick skin transplantation on patients with scar deformity after deep
second degree burns, and summarize the perioperative nursing experience. Methods The clinical data of 68 patients (86 joints)
with scar deformity after deep second degree burns from January 2017 to December 2018 were retrospectively analyzed, and all the
patients were given scar resection + medium thick skin transplantation + functional exercise. The survival rate of joint wound grafts
after surgery was recorded among patients. The scar condition (Vancouver scar scale, VSS) in the two groups was compared before
surgery and at 1 month, 3 months, 6 months and 12 months after surgery. The joint function recovery effects were counted at 6 months
after surgery and at 12 months after surgery, and the clinical efficacy at 12 months after surgery was evaluated. Results The survival
rate of wound grafts of 86 joints among 68 patients was 92.5%-100.0%, with an average of (96.86±3.25)%. The VSS scores among
patients showed a downward trend at 1 month, 3 months, 6 months and 12 months after surgery, and all were significantly lower than
that before surgery(P＜0.05). The excellent and good rate of joint function recovery was 93.02% at 6 months after surgery and was
98.84% at 12 months after surgery. And the total effective rate was up to 100.00% at 12 months after surgery. Conclusion Medium
thick skin transplantation for patients with scar deformity after deep second degree burns can effectively promote scar surface recovery
and improve joint function, and it has good long-term efficacy. Effective perioperative nursing is of important significance in ensuring
skin graft survival and promoting patient recovery.

相似文献/References:

[1]彭娟娟,谢欣兰,卓兴峰.皮肤软组织扩张术在深Ⅱ度烧伤后瘢痕修复中的应用效果分析[J].中国美容医学,2018,(09):42.
　PENG Juan-juan,XIE Xin-lan,ZHUO Xing-feng.Analysis of the Effect of Skin Soft Tissue Expansion in the Repair of Scars after Deep Second Degree Burn[J].Medical Aesthetics and Beauty,2018,(6):42.
[2]邱国栋. 异体脱细胞真皮基质在烧伤后期瘢痕整形中的应用[J].中国美容医学,2019,(05):104.
　QIU Guo-dong. Curative Efficacy of Allogeneic Acellular Dermal Matrix in Treatment of Post Burn Scar Plastic Surgery[J].Medical Aesthetics and Beauty,2019,(6):104.

更新日期/Last Update: 2020-06-24