皮肤软组织扩张术在整形外科临床的应用

目的通过对165例患者307个皮肤软组织扩张器进行回顾性统计,并对皮肤软组织扩张术并发症发生与多个因素间的相关性进行分析,找出易导致并发症发生的因素,为减少并发症提高手术成功率提供理论依据。方法收集165例307个扩张器。按照病例扩张器植入部位、扩张器的植入数量、扩张速度进行分组,统计各组植入扩张器后发生并发症的患者例数及扩张器个数。并统计各组并发症的发生率,对每组的并发症发生率进行统计学分析。结果本病例并发症发生率为16.61%。并发症发生率最高的是扩张器外露,其次是感染和血肿。结论扩张器植入部位不同并发症的发生率不同,乳突区并发症发生率最高,头部并发症发生率最低。植入扩张器数量越多,并发症发生率越高扩张速度不同并发症发生率不同,扩张速度越快并发症发生率越高。

Analysis the Characteristics and Related Factors of Complications of Skin and Soft Tissue Expansion

Objective By reviewing 165 patients (307 skin soft tissue expanders) with retrospective statistics and analysis related factors which can cause the complications of skin and soft tissues,to recognize the factors which are prone to the complications and provide a theoretical basis on which can reduce the incidence of the complications and increase the success rate of surgery. Methods In total 165 cases 307 expanders were divided in different groups by the implanted position of expander the number of skin soft tissue expander the speed of expansion.We count the number of the skin soft tissue expander in each group,and the incidence of complications in each group has been analyzed.Results In total 165 cases,307 skin soft tissue expanders,the incidence of the complication is 16.61%; In the all complication,the highest is expander exposure,followed by infection and hematoma.Conclusion Expander implant position is different,so does the complications rate.The more expanders which have been implanted,the higher incidence of complications.The expansion speed is different,so does the incidence of complication. The faster the expansion speed is,the higher incidence of complication.