烧伤整形治疗中复合皮移植和皮肤软组织扩张术的应用效果

比较烧伤整形（BPS）患者使用复合皮移植（CSG）、皮肤软组织扩张术（SSTD）的效果。方法 选取2021年6月-2022年6月我院门诊部收治的BPS患者62例，随机分为A组和B组，每组31例。A组行CSG，B组行SSTD，比较两组有效性、安全性、临床指标、美观满意度、生活质量及血清指标。结果 B组治疗总有效率高于A组，并发症发生率低于A组（P ＜0.05）；B组创面愈合时间、创面皮肤恢复血运时间短于A组（P ＜0.05）；B组美观满意度高于A组（P ＜0.05）；B组SF-36各维度评分均高于A组（P ＜0.05）；B组ALB高于A组，ICAM-1、可溶性E-选择素低于A组（P ＜0.05）。结论 BPS患者使用SSTD的效果良好，能有效改善临床症状，缩短术后恢复时间，提升生活质量，满足患者对美观的需求，且并发症发生率较低

Comparison of the Application Effects of Composite Skin Graft and Skin Soft TissueDilatation in Burn Plastic Surgery

To analyze the effects of composite skin graft and skin and soft tissue dilatation in burn plastic surgerypatients. Methods A total of 62 BPS patients admitted to our clinic from June 2021 to June 2022 were randomly divided into groupA and group B, with 31 patients in each group. Group A received CSG, group B received SSTD, and the efficacy, safety, clinicalindicators, aesthetic satisfaction, quality of life and serum indicators of the two groups were compared. Results The total effectiverate of treatment in group B was higher than that in group A, and the incidence of complications was lower than that in group A(P <0.05). The time of wound healing and blood flow recovery in group B were shorter than those in group A (P <0.05). The aestheticsatisfaction of group B was higher than that of group A (P <0.05). The SF-36 scores of group B were higher than those of group A(P <0.05). The level of ALB in group B was higher than that in group A, the levels of ICAM-1 and soluble E-selectin in group Bwere lower than those in group A (P <0.05). Conclusion The applicationeffect of SSTD in patients with BPS is good, which caneffectively improve the clinical symptoms, shorten the postoperative recovery time, improve the quality of life, meet the aestheticneeds of patients, and the incidence of complications is low.