减张对位缝合与皮瓣转移修复颌面部外伤的效果比较
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李现刚(1972.12-),男,山东蒙阴人,本科,副主任医师,主要从事口腔医学方面研究

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R782.4


Comparison of the Effects of Tension Reduction Suture and Flap Transfer in the Repair of Maxillofacial Trauma
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    摘要:

    目的 比较减张对位缝合与皮瓣转移修复颌面部外伤的效果。方法 选取2020年12月-2023年9月我 院收治的100例颌面部外伤患者为研究对象,采用随机数字表法分为对照组和观察组,每组50例。对照 组予以减张对位缝合治疗,观察组予以皮瓣转移修复,比较两组血管危象发生率、术后康复指标、皮瓣 肿胀程度、疼痛程度、瘢痕情况及创口愈合效果。结果 观察组静脉危象及动脉危象发生率均低于对照组 (P<0.05);观察组瘢痕长度小于对照组,水肿持续时间及切口愈合时间均短于对照组(P <0.05);观察 组术后24、72 h皮瓣肿胀评分均低于对照组(P<0.05);观察组术后72 h VAS评分低于对照组(P<0.05); 观察组瘢痕色泽、血管分布、柔软度、厚度评分及总分均低于对照组(P<0.05);观察组创口对位不齐、 创面崩裂、创口感染占比均低于对照组(P <0.05)。结论 皮瓣转移修复颌面部外伤效果良好,能促进患 者术后远期创口愈合,还可降低血管危象发生率,值得临床应用。

    Abstract:

    Objective To compare the effect of tension reduction suture and flap transfer in the repair of maxillofacial trauma. Methods A total of 100 patients with maxillofacial trauma admitted to our hospital from December 2020 to September 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 50 patients in each group. The control group was treated with tension reduction suture, and the observation group was treated with flap transfer repair. The incidence of vascular crisis, postoperative rehabilitation index, flap swelling degree, pain degree, scar condition and wound healing effect were compared between the two groups. Results The incidence of venous crisis and arterial crisis in the observation group was lower than that in the control group (P <0.05). The length of scar in the observation group was shorter than that in the control group, and the duration of edema and incision healing time were shorter than those in the control group (P <0.05). The score of flap swelling in the observation group was lower than that in the control group at 24 and 72 h after operation (P <0.05). The VAS score of the observation group was lower than that of the control group at 72 h after operation (P <0.05). The scores of scar color, vascular distribution, softness, thickness and total score in the observation group were lower than those in the control group (P <0.05). The proportions of wound malalignment, wound dehiscence and wound infection in the observation group were lower than those in the control group (P <0.05). Conclusion The effect of flap transfer in repairing maxillofacial trauma is good, which can promote the long-term wound healing after operation and reduce the incidence of vascular crisis. It is worthy of clinical application.

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李现刚.减张对位缝合与皮瓣转移修复颌面部外伤的效果比较[J].医学美学美容,2024,33(12):59-62.

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  • 在线发布日期: 2024-07-15