手术联合药物治疗口周瘢痕27例临床观察

目的:观察手术加药物治疗口周瘢痕的临床效果.方法:我院烧伤整形科采用手术加药物治疗口周瘢痕27例,采用全厚皮植皮术加术后皮内去炎松-A(曲安萘德)注射.结果:经6～26月随访观察,2例失访.22例取得良好的效果,愈合创面平整,瘢痕增生少,口唇鼻部功能恢复好,外形满意,色泽反差随手术后时间延长逐渐减小.3例病人因为药物治疗疗程不足,局部功能恢复较差.结论:全厚皮植皮术加术后皮内去炎松-A(曲安萘德)注射治疗面部局部瘢痕是一种简单有效、病人容易接受的方法,值得临床推广.

Clinical Observation of 27 Perioral Burned Scar Cases Treated with Operation Combined with Intracutaneous Triamcinolone Acetonide Injection

Objective:To evaluate the effect of using full-thickness grafts transplantation combined with intracutaneous injection with triamcinolone acetonide for perioral burned scar.Methods:After releasing the scar,to cover the wound with full thickness grafts,and to intracutaneous inject with triamcinolone acetonide underwent after operation 1-2 weeks.Results:The follow-up ranged from 6 to 26 months in 25 cases with 2 in loss.Except for 3 patients,who short the duration of operative intracutaneous injection with triamcinolone acetonide,the other 22 patients were successful.Conclusion:The method of using full-thickness grafts transplantation combined with intracutaneous injection with triamcinolone acetonide for perioral burned scar is simple and effective.