烧伤整形外科中游离皮瓣的效果与安全性分析

目的 比较游离皮瓣移植术与传统皮肤移植术在烧伤整形外科中的有效性及安全性。方法 选取2022年1月-2024年1月苏州大学附属第一医院接受烧伤整形治疗的100例患者作为研究对象，根据治疗方法不同分为对照组和观察组，每组50例。对照组采用传统皮肤移植术，观察组采用游离皮瓣移植术。比较两组治疗效果、疼痛评分、术后并发症发生情况及皮肤恢复效果。结果 观察组治疗总有效率为98.00%，高于对照组的90.00%（P＜0.05）；观察组术后VAS评分低于对照组（P＜0.05）；观察组术后并发症发生率低于对照组（P＜0.05）；观察组整体外观、颜色匹配度、触感和灵活性评分高于对照组，疤痕形成评分低于对照组（P ＜0.05）。结论 在烧伤整形外科中，游离皮瓣移植术可提升烧伤患者临床治疗效果，减轻疼痛程度，降低并发症发生率，提高皮肤恢复质量。

Analysis of the Effect and Safety of Free Flap in Burn and Plastic Surgery

Objective To compare the efficacy and safety of free flap transplantation and traditional skin transplantation inburn and plastic surgery. Methods A total of 100 patients who received burn plastic surgery in the First Affiliated Hospitalof Soochow University from January 2022 to January 2024 were selected as the research objects. According to differenttreatment methods, they were divided into control group and observation group, with 50 patients in each group. The controlgroup was treated with traditional skin transplantation, and the observation group was treated with free flap transplantation.The therapeutic effect, pain score, postoperative complications and skin recovery were compared between the two groups.Results The total effective rate of treatment in the observation group was 98.00%, which was higher than 90.00% in thecontrol group (P <0.05). The postoperative VAS score of the observation group was lower than that of the control group(P <0.05). The incidence of postoperative complications in the observation group was lower than that in the control group(P <0.05). The overall appearance, color matching, touch and flexibility scores of the observation group were higher thanthose of the control group, and the scar formation score was lower than that of the control group (P <0.05). Conclusion Inburn and plastic surgery, free flap transplantation can improve the clinical treatment effect of burn patients, reduce the degreeof pain, reduce the incidence of complications, and improve the quality of skin recovery.