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中国现代手术学杂志  2017, Vol. 21 Issue (1): 55-60    DOI: 10.16260/j.cnki.1009-2188.2017.01.014
  临床论著 |
不同皮瓣修复术在颈部烧伤瘢痕修复中的应用效果比较
谷世行，黄志群，陆钢，韦达隆
右江民族医学院附属医院烧伤整形与创面修复外科， 百色 533000
Comparison of the Clinical Effect of Different Flaps for the Repair of Burned Scars in Cervical Regions
GU Shixing， HUANG Zhiqun， LU Gang， WEI Dalong
Department of Burn Surgery, Affiliated Hospital of Youjiang Medical College of Traditional Chinese Medicine, Baise 533000, Guangxi, China
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摘要 目的探讨不同的皮瓣修复术用于颈部烧伤瘢痕挛缩患者的创面修复的效果及满意度。方法2013年1月至2014年12月选取本院整形外科收治的80例颈部烧伤瘢痕患者，根据手术方式分为A组（行胸三角扩张皮瓣修复，n=40）及B组 （行额部扩张皮瓣修复， n=40）， 术后随访2年， 比较术后颈部活动度及颏颈角的角度变化， 并记录两组患者的治疗满意度。结果两组治疗有效率比较无统计学意义（P>0.05），两组术后均无明显并发症发生。两组术后颈部前屈、 后伸、 左侧屈、 右侧屈、 左旋、 右旋等角度及颏颈角比较无统计学意义（P>0.05）。B组对皮瓣质地色泽、 皮瓣回缩程度、 供应区美观效果、 整体美学效果等方面满意率高于A组 （P<0.05）。结论胸三角扩张皮瓣修复与额部扩张皮瓣修复术均能有效改善颈部烧伤患者颈部活动功能，且两者修复效果相当，无明显并发症，但额部扩张皮瓣修复术在外观及整体美学方面优于胸三角扩张皮瓣修复术，值得临床推广应用。
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谷世行，黄志群，陆钢，韦达隆
关键词:  外科皮瓣  烧伤  颈部    
Abstract: ObjectiveTo explore the effect of different flaps for the repair of burned scars in cervical regions.Methods80 patients with cervical burn scars were divided into group A (expanded deltopectoral flaps, n=40) and B (expanded forehead flaps, n=40) from January 2013 to December 2014. Two groups were followed up for 2 years. The changes of cervical remotion and cervicomental angles were compared between the two groups. The satisfaction of the two groups was recorded too.ResultsThere was no significant difference between the two groups in the effective rate(P>0.05). There was no difference of flexion, extension, left lateral bending, right lateral bending, left rotation, right rotation and cervicomental angles between the two groups (P>0.05). The satisfaction rate of the flaps in group B was higher than that of group A (P<0.05).ConclusionIt both can effectively improve the neck movement functions of patients with cervical burn scars by expanded deltopectoral flaps or expanded forehead flaps with obvious clinical efficacy and few complications. And the expanded forehead flaps have better appearance and overall aesthetic results which may be worthy more promotion.
Key words:  surgical flaps    burn    neck
               出版日期:  2017-02-26      发布日期:  2018-05-25      期的出版日期:  2017-02-26
ZTFLH:  R622.1  
  R644  
作者简介:  谷世行，男，37岁，右江民族医学院附属医院烧伤整形与创面修复外科主治医师。
引用本文:    
谷世行，黄志群，陆钢，韦达隆. 不同皮瓣修复术在颈部烧伤瘢痕修复中的应用效果比较[J]. 中国现代手术学杂志, 2017, 21(1): 55-60.
GU Shixing， HUANG Zhiqun， LU Gang， WEI Dalong. Comparison of the Clinical Effect of Different Flaps for the Repair of Burned Scars in Cervical Regions. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 55-60.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.01.014  或          http://www.surgerychina.com/CN/Y2017/V21/I1/55
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