摘要
目的探讨复合皮移植与皮肤软组织扩张术分别用于大面积烧伤整形治疗中的临床效果。方法选取于2018年3月—2020年5月该院接诊的大面积烧伤整形治疗62例患者作为研究对象,按照床位单双号顺序分作研究组(31例)与对照组(31例),对照组患者采取复合移植术治疗,研究组患者采取皮肤软组织扩张术治疗,将两组患者采取不同手术方法治疗后的临床疗效、并发症等指标进行比较。结果研究组患者创面愈合时间、创面恢复血运时间以及住院时间短于对照组,满意度分值高于对照组,差异有统计学意义(P<0.05);研究组、对照组患者治疗后总有效率分别为96.77%、80.64%,差异有统计学意义(χ^(2)=4.02,P<0.05),研究组、对照组患者治疗依从性分别为96.77%、80.64%,差异有统计学意义(χ^(2)=4.02,P<0.05),研究组、对照组患者并发症发生率分别为6.45%、29.03%,差异有统计学意义(χ^(2)=5.41,P<0.05)。结论皮肤软组织扩张术在大面积烧伤整形治疗中可促患者早日康复,减轻患者痛苦,缩短住院时间,减少医疗费用,非常值得在临床大面积烧伤整形治疗中大力推广使用。
Objective To investigate the clinical effects of composite skin transplantation and skin soft tissue expansion in plastic treatment of large-area burns.Methods From March 2018 to May 2020,62 patients who received plastic surgery for extensive burns in this hospital were selected as the research objects,and they were divided into study group(31 cases)and control group(31 cases)according to the order of the odd and even numbers of the beds.Patients in the control group were treated with compound transplantation,and patients in the study group were treated with skin and soft tissue expansion.The clinical efficacy,complications and other indicators of the two groups of patients after treatment with different surgical methods were compared.Results The wound healing time,wound recovery time and hospitalization time of the study group were shorter than those of the control group,and the satisfaction score was higher than that of the control group.The difference was statistically significant(P<0.05);The efficiencies of the study group and control group always were 96.77%and 80.64%,respectively,and the difference was statistically significant(χ^(2)=4.02,P<0.05).The treatment compliance of the study group and control group were 96.77%and 80.64%,respectively,and the difference was statistically significant(χ^(2)=4.02,P<0.05),the incidence of complications in the study group and control group were 6.45%and 29.03%respectively,the difference was statistically significant(χ^(2)=5.41,P<0.05).Conclusion Skin soft tissue expansion in plastic surgery for large-area burns can promote early recovery of patients,reduce patient pain,shorten hospitalization time,and reduce medical expenses.It is very worthy of vigorous promotion and use in clinical plastic-surgery treatment for large-area burns.
作者
郝晨晟
HAO Chensheng(Department of Plastic Surgery,First People's Hospital of Changzhou City,Changzhou,Jiangsu Province,213000 China)
出处
《世界复合医学》
2021年第11期115-118,共4页
World Journal of Complex Medicine
关键词
复合皮移植
皮肤软组织扩张术
大面积烧伤整形
疗效
并发症
Composite skin transplantation
Skin and soft tissue expansion
Plastic surgery for large-area burns
Curative effect
Complication
