论文部分内容阅读
目的探讨皮下组织蒂菱形皮瓣成形术对烧伤后瘢痕挛缩的治疗效果。方法选择2012年1月至2015年1月烧伤后瘢痕挛缩患者60例,其中30例接受游离皮片移植术为对照组,另30例接受皮下组织蒂菱形皮瓣成形术为观察组,随访1年,比较两组皮瓣成活率以及瘢痕挛缩复发率、患者满意度等指标。结果观察组皮瓣成活率与对照组皮瓣成活率均为100%。但观察组随访1年期间瘢痕挛缩复发率为0,明显低于对照组的20%,差异有统计学意义(χ2=6.6667,P<0.05)。且观察组患者满意度评价中非常满意率为60.00%,明显高于对照组的36.67%,差异有统计学意义(χ2=4.2857,P<0.05)。结论与常规的游离皮片移植术相比,烧伤后瘢痕挛缩患者采用皮下组织蒂菱形皮瓣成形术的治疗效果更佳,皮瓣成活率更高,挛缩复发率更低,患者满意度更高。
Objective To investigate the effect of subcutaneous rhombic flap angioplasty on postoperative scar contracture. Methods From January 2012 to January 2015, 60 patients with post-burn scar contracture were involved, of whom 30 received free skin grafting as the control group and the other 30 received rhombic flap angioplasty as the observation group. The follow-up was 1 Years, comparing the survival rate of the two groups of flaps and scar contracture recurrence rate, patient satisfaction and other indicators. Results The flap survival rates in the observation group and the control group were both 100%. However, the recurrence rate of scar contracture in observation group was 0 at one year follow-up, which was significantly lower than that in control group (χ2 = 6.6667, P <0.05). The satisfaction rate of patients in the observation group was 60.00%, which was significantly higher than that of the control group (36.67%), the difference was statistically significant (χ2 = 4.2857, P <0.05). Conclusion Compared with the conventional free skin grafts, burns of post-operative scar contracture patients with subcutaneous rhombic flap flap surgery is better, the flap survival rate is higher, contracture recurrence rate is lower, patient satisfaction is higher .