摘要
目的探讨整形外科技术在面部软组织损伤急诊处理中应用的临床效果，以及最大限度地恢复患者面部形态及功能的整形外科方法。方法回顾性分析2009年6月至2011年6月收治的798例面部软组织创伤患者，采用整形外科技术，根据具体伤情设计不同修复方法，严格遵守无菌无创原则。进行清创、创面修复、皮瓣修复等治疗。结果790例患者术后I期愈合，8例伴有轻微瘢痕，随访6个月至1年，无感染、坏死、明显瘢痕等并发症发生，面部形态及功能恢复良好。结论在面部软组织损伤急诊处理时，尽早应用整形外科技术进行I期修复，避免创面自然愈合后发生畸形及功能障碍，无需Ⅱ期手术整形。
Objective To evaluate the clinical application and effect of plastic surgery in emer- gency treatment of facial soft tissue injuries, and to explore the better plastic surgery method for facial soft tissue injuries in order to regain the patient facial morphology and function maximally. Methods The clinical data of 798 patients with facial soft tissue injuries from June 2009 to June 2011 were ana- lyzed retrospectively. And plastic surgical techniques were applied to the early treatment of facial soft tissue iniuries in this group cases, according so the size of defect and the degree of deformity of the pa- tient, different plastic surgery treatment was chosen, such as skin flap or skin graft to repair wound surfaces. In this process, one must follow sterile noninvasive principle strictly with emphasis on the technique of plastic surgery such as entire debridement, wound healing application of skin flap and so on. Results 790 cases of facial soft tissue injuries were healed by first intention without significant complications, while 8 cases of them had mild scars. During 6 to 12 months of follow-up, neither scar, nor infections and necrosis of the wound region occurred, and the morphology and function of patients＇ face recovered well without the second operation. Conclusions Using plastic surgery tech- niques in the emergency treatment of facial soft tissue injuries as soon as possible can avoid the disfig- urement and the function disturbance, and promote the facial morphology and function regeneration rapidly and effectively.
出处
《中华医学美学美容杂志》
2013年第3期190-192,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
整形外科
面部
软组织损伤
急诊
Plastic surgery
Face
Soft tissue injury
Emergency treatment
