间断远位减张美容缝合术在颜面部皮肤软组织损伤急诊患者中的应用效果

目的 探究间断远位减张美容缝合术在颜面部皮肤软组织损伤急诊患者中的应用效果。方法 选取2022年1月-6月本院收治的106例颜面部皮肤软组织损伤患者为研究对象，根据手术方案不同分为对 照组（n=47）和观察组（n=59）。对照组接受常规外科清创缝合术治疗，观察组接受间断远位减张美容 缝合术治疗，比较两组皮瓣成活情况、愈合情况、面部康复评分（活动度、感觉、外观）及并发症发生情 况。结果 观察组皮瓣成活率为96.61%，高于对照组的80.85%，差异有统计学意义（P＜0.05）；观察组愈合优 良率为94.92%，高于对照组的68.09%，差异有统计学意义（P＜0.05）；观察组活动度、感觉及外观评分均高 于对照组，差异有统计学意义（P＜0.05）；两组不良反应发生率比较，差异无统计学意义（P＞0.05）。结论 间断远位减张美容缝合术在颜面部皮肤软组织损伤急诊患者中的应用效果确切，可有效提高皮瓣成活率，有 利于促进患者伤口愈合及面部皮肤软组织活动度、感觉、外观功能的恢复，且术后并发症发生风险较小， 安全性较高。

Application Effect of Intermittent Remote Tension Reduction Cosmetic Suture in Emergency Patients with Facial Skin and Soft Tissue Injury

Objective To explore the application effect of intermittent remote tension reduction cosmetic suture in emergency patients with facial skin and soft tissue injury. Methods A total of 106 patients with facial skin and soft tissue injury admitted to our hospital from January to June 2022 were selected as the research objects. According to different surgical schemes, they were divided into control group (n=47) and observation group (n=59). The control group was treated with conventional surgical debridement and suture, and the observation group was treated with intermittent remote tension reduction cosmetic suture. The flap survival, healing, facial rehabilitation score (activity, sensation, appearance) and complications were compared between the two groups. Results The flap survival rate of the observation group was 96.61%, which was higher than 80.85% of the control group, and the difference was statistically significant (P0.05). Conclusion Intermittent remote tension reduction cosmetic suture is effective in emergency patients with facial skin and soft tissue injury, which can effectively improve the survival rate of skin flap, promote wound healing and recovery of facial skin and soft tissue activity, sensation and appearance function. Meanwhile, the risk of postoperative complications is small and the safety is high.