皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩的临床效果

目的 探讨皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩的临床效果。方法 选取2020年 1月-2021年12月邯郸邯钢医院收治的100例烧伤后瘢痕挛缩患者作为研究对象，按照随机数字表法分为观 察组和对照组，各50例。对照组给予常规游离皮片移植术治疗，观察组给予皮下组织蒂菱形皮瓣成形术 治疗，比较两组治疗满意度、创面愈合时间、皮瓣成活率、复发率、并发症发生率及生活质量评分。 结果 观察组治疗总满意度为98.00%，高于对照组的84.00%（P＜0.05）；观察组创面愈合时间短于对照 组，皮瓣成活率高于对照组，复发率低于对照组（P＜0.05）；观察组并发症发生率为4.00%，低于对照 组的20.00%（P＜0.05）；两组治疗后生活质量评分均高于对照组（P＜0.05）。结论 皮下组织蒂菱形皮瓣 成形术治疗烧伤后瘢痕挛缩的效果良好，可有效提高皮瓣存活率，缩短皮瓣断蒂时间，降低皮瓣感染率， 还能有效控制创面周围炎症反应，提高肢体功能，改善皮肤修复情况，促进患者快速康复。

Clinical Effect of Subcutaneous Tissue Pedicle Rhomboid Flap Plasty in the Treatment of Scar Contracture After Burn

Objective To investigate the clinical effect of subcutaneous tissue pedicle rhomboid flap plasty in the treatment of scar contracture after burn. Methods A total of 100 patients with scar contracture after burn admitted to Handan Hangang Hospital from January 2020 to December 2021 were selected as the research objects. According to the random number table method, they were divided into observation group and control group, with 50 cases in each group. The control group was treated with conventional free skin graft transplantation, and the observation group was treated with subcutaneous tissue pedicle diamond flap plasty. The treatment satisfaction, wound healing time, flap survival rate, recurrence rate, complication rate and quality of life score were compared between the two groups. Results The total treatment satisfaction of the observation group was 98.00%, which was higher than 84.00% of the control group (P<0.05). The wound healing time of the observation group was shorter than that of the control group, the survival rate of the flap was higher than that of the control group, and the recurrence rate was lower than that of the control group (P<0.05). The incidence of complications in the observation group was 4.00%, which was lower than 20.00% in the control group (P<0.05). The quality of life scores of the two groups after treatment were higher than those of the control group (P<0.05). Conclusion Subcutaneous tissue pedicled rhomboid flap plasty has a good effect in the treatment of scar contracture after burn, which can effectively improve the survival rate of flap, shorten the time of flap pedicle breaking, reduce the infection rate of flap, effectively control the inflammatory reaction around the wound, improve limb function, improve skin repair, and promote rapid recovery of patients.