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-  2015 

预扩张皮瓣及植皮治疗面颈部及关节部瘢痕挛缩的比较研究

DOI: doi:10.7507/1002-1892.20150244

Keywords: 预扩张皮瓣, 植皮, 瘢痕挛缩

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Abstract:

目的通过与植皮技术比较,探讨预扩张皮瓣技术用于面颈部和关节部瘢痕挛缩治疗的疗效。 方法回顾分析2004年7月-2014年6月收治的瘢痕挛缩患者,通过随机抽样共240例纳入研究,其中采用植皮(植皮组)及预扩张皮瓣(预扩张皮瓣组)修复各120例。两组患者性别、年龄、创伤部位及病程比较,差异均无统计学意义(P>0.05)。术后通过再手术率以及外形与功能评分(A&F 0-6级量化评分)评价两组疗效。 结果患者术后均获随访,随访时间植皮组12~75个月,平均23.47个月;预扩张皮瓣组12~61个月,平均19.62个月。植皮组再手术率为72.5%(87/120),显著高于预扩张皮瓣组的19.2%(23/120),比较差异有统计学意义(P=0.000)。其中青少年颈部再手术率最高,植皮组为93.9%、预扩张皮瓣组为35.0%。未再手术患者中,植皮组A&F 0-6级量化评分为(2.85±1.12)分,显著低于预扩张皮瓣组的(5.22±0.74)分,比较差异有统计学意义(t=13.830,P=0.000)。 结论预扩张皮瓣技术治疗瘢痕挛缩可降低再手术率,且外形及功能修复效果较植皮技术有显著提高,对于青少年患者宜作为首选方法

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