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目的观察软组织扩张术在头面部烧伤处理中的临床应用效果,为临床治疗提供参考依据。方法选取2013年5月至2015年3月就诊的头面部烧烫伤患者110例,按照随机数字表法随机分为观察组(55例)和对照组(55例),对照组患者采用复合皮移植技术进行治疗,观察组患者则采用软组织扩张术进行治疗,对两组患者的临床治疗效果、患者满意度、临床指征恢复情况及治疗中产生不良反应发生情况进行评价。结果观察组患者的临床治疗总有效率显著高于对照组(96.4%vs 70.9%,P<0.01);观察组患者对治疗的满意度显著高于对照组(90.9%vs 50.9%,P<0.01);观察组患者的头面部创面恢复时间显著低于对照组[(10.4±3.2)d vs(15.2±4.1)d,P<0.05];治疗过程中两组患者均存在不同程度的并发症,观察组患者并发症总发生率低于对照组(12.7%vs20.0%),但差异无统计学意义(P>0.05)。结论软组织扩张术对头面部烧烫伤患者具有较好的治疗效果,创面修复时间短,患者满意度高。
Objective To observe the clinical effect of soft tissue expansion in head and face burn treatment and provide reference for clinical treatment. Methods One hundred and ten patients with head and face burn and scald were selected from May 2013 to March 2015. The patients were randomly divided into observation group (55 cases) and control group (55 cases) according to random number table method. Patients in control group were treated with composite skin graft Technique. The patients in the observation group were treated with soft tissue dilation. The clinical effects, patient satisfaction, recovery of clinical indications and the occurrence of adverse reactions in the two groups were evaluated. Results The total effective rate of clinical observation in observation group was significantly higher than that in control group (96.4% vs 70.9%, P <0.01). Satisfaction of patients in observation group was significantly higher than that in control group (90.9% vs 50.9%, P <0.01) ). The recovery time of head and face wounds in the observation group was significantly lower than that in the control group [(10.4 ± 3.2) d vs (15.2 ± 4.1) days, P <0.05]. There were different degrees of complications in both groups during the treatment, The overall incidence of complications in observation group was lower than that in control group (12.7% vs20.0%), but the difference was not statistically significant (P> 0.05). Conclusion Soft tissue dilatation has a good therapeutic effect on head and face burn patients. The wound repair time is short and patient satisfaction is high.