精细缝合与局部皮瓣在面部外伤修复中的应用

目的 探讨精细缝合与局部皮瓣在修复面部外伤中的疗效,总结分析其应用效果.方法 面部外伤患者80例,分为观察组(40例)与对照组(40例),观察组采用精细缝合与局部皮瓣方式进行修复,对照组以传统缝合方式修复,分析两组患者伤口愈后瘢痕情况及患者满意度的区别.结果 术后3个月随诊患者满意度评分,观察组(89.21 ±5.45)分,对照组(64.84 ± 7.36)分,观察组明显高于对照组(t=16.830,P<0.05),观察组和对照组瘢痕宽度(0.68 ±0.47)vs(1.96 ±0.31)mm]、瘢痕评分(0.72 ±0.63)vs(1.85 ±0.78)分]比较,差异有统计学意义(P<0.05).结论 对面部外伤采用精细缝合或应用局部皮瓣修复,能够有效减轻瘢痕形成,满足患者的美容要求.

Application of local flaps and subtle suture techniques in restoration of facial trauma

Objective To investigate and evaluate the effects of local flaps and subtle suture techniques in facial trauma restoration,and to summarize and analyze its application.Methods Eighty cases of patients with facial trauma were assigned into two groups,experi-ment group and control group with 40 patients equally in each group.Local flaps and subtle suture was performed to the experiment group while conventional debridement and suture was provided to the control group.The status of wound scar and patients′satisfaction were analyzed in both groups.Results Follow-up 3 months after operation,the patient satisfaction score of the observation group was (89.21 ±5.45)points,and the control group was(64.84 ±7.36)points,the patient satisfaction score in the observation group was sig-nificantly higher than that in the control group(t=16.830,P<0.05),and the scar width of the observation group and the control group (0.68 ±0.47)vs(1.96 ±0.31)mm],the scar score of the observation group and the control group(0.72 ±0.63)vs(1.85 ±0.78) points],the difference was statistically significant(P<0.05).Conclusions Application of local flaps and subtle suture techniques in facial trauma treatment may effectively reduce scar formation and maximize patients′satisfaction.