应用大张自体皮片移植修复术治疗颌颈部瘢痕粘连畸形的疗效.docVIP

精品论文 参考文献 应用大张自体皮片移植修复术治疗颌颈部瘢痕粘连畸形的疗效 张攀攀（商丘市第一人民医院烧伤整形外科 河南商丘 476100） 　　【摘要】目的： 研究分析大张自体皮移植修复术治疗颌颈部瘢痕粘连畸形的临床效果。方法： 选取2013 年4 月-2015 年4 月我院收治的颌颈部瘢痕粘连畸形患者30 例，所有患者均使用瘢痕松解大张自体皮片移植和局部皮瓣转移修复术，观察患者临床治疗效果。结果：所有患者中29 例大张自体皮片移植术后皮片完全成活，成活率为96.67%（29/30），纠正下唇外翻；1 例发生局部皮片坏死，给予多次换药愈合；随访5-12 个月，患者颈部活动和后仰等症状均显著好转，纠正下唇外翻，颈部外观稍有僵硬。结论： 大张自体皮移植修复术治疗颌颈部瘢痕粘连畸形效果良好，安全可靠，值得推广。 　　【关键词】大张自体皮移植修复术；颌颈部瘢痕粘连畸形；疗效【???图分类号】 R2 【文献标号】 A 【文章编号】 2095-9753（2015）08-0077-02Applied to big autogreffe DE la peau grafts prosthesis curative effect for the treatment of jaw neck scar adhesion deformityZhang climb climb (shangqiu first peoples hospital of burn plastic surgery Henan shangqiu, 476100)[abstract] : objective: to study the analysis of large prosthesis autogreffe DE la peau transplantation for treatment of jawneck scar adhesion deformity. Selection methods: April 2013 - April 2015 our hospitals jaw neck scar adhesion deformity patients,30 cases should be used in all patients with scar release large zhang autogreffe DE la peau transplantation and local flap transferprosthesis, the clinical therapeutic effects were observed. Results: all the 29 cases of patients with large zhang autogreffe DE la peautransplantation flap survived completely, the survival rate was 96.67% (29/30), correction of lower lip evaginate; Local flap necrosisoccurs in 1 case, give many times change medicine healing; 5-12 months follow-up, patients with neck activity and back symptoms weresignificantly improved, such as correcting lower lip evaginate, slightly stiff neck appearance. Conclusion: prosthesis to big autogreffeDE la peau transplantation treatment jaw neck scar adhesion deformity effect is good, safe and reliable, is worth promoting.Key words: giant autogreffe DE la peau transplant repair; Jaw neck scar adhesion deformity; The curative effect 　　颌颈部瘢痕粘连畸形患者的主要致病因素为烧伤和烫伤，患者的临床症状为下唇外翻、抬头受限等[1]。对于此类患者通常可以采用瘢痕松懈局部皮瓣移植术，其虽然具有一定临床疗效，但是因为皮瓣移植修复的范围不大，所以这种方法不能够广泛运用[2]。 大张自体皮移植修复术仍然是颌颈部瘢痕粘连畸形的主要治疗手段[3]。 　　在本次研究中选择我院收治的颌颈部瘢痕粘连畸