烧伤整形患者行皮肤软细织扩张术治疗的临床疗效.docVIP

精品论文 参考文献 烧伤整形患者行皮肤软细织扩张术治疗的临床疗效 南华大学附属第一医院 湖南 衡阳 421001 【摘要】：目的 探讨皮肤软组织扩张术应用于烧伤整形的临床疗效。方法 选取我院2013年7月～2015年1月收治的150例烧伤整形患者作为研究对象，将其分为观察组与参照组，每组各75例。参照组给予常规皮移植治疗，观察组给予皮肤软组扩张术治疗，比较两组患者的临床疗效。结果 组患者经过治疗后，临床疗效比较如下，观察组无效2例，有效28例，显效45例。参照组无效20例，有效25例，显效30例，总有效率为有效率加显效率。两组临床效果比较，差异有统计学意义(P lt;0．05)，观察组75例患者4例患者出现并发症，分别为皮瓣挛缩2例，皮肤感染2例，并发症发生率为5.4％；参照组发生并发症14例，为别为扩张器外露2例，皮瓣远端坏死2例，扩皮瓣挛缩2例，复合皮组表皮液化2例，皮肤感染6例，并发症发生率为18.7％，两组不良反应差异有统计学意义(P lt;0．05)，结论 采用皮肤软组织扩张术治疗烧伤整形患者，疗效显著，值得推广应用。 【关键词】：烧伤整形；皮肤软组织扩张术；效果 【中图分类号】R469.3【文献标识码】A【文章编号】1001-5213(2016)08-0409-01 [Abstract] Objective To analyze the clinical effect of TEVAR in the treatment of type StanfordB aortic dissection. Methods the cardiovascular surgery in our hospital in August 2011 August 2014, 161 patients underwent aortic computed tomographic angiography imaging diagnosis for Stanford type B aortic syndrome and hospital treatment, 68 cases of patients, according to the different treatment divided into stent group and the conservative group, each group of 34 cases in each group. The survival and rehabilitation of patients were evaluated by return visit. Results the success rate of TEVAR was 100%, 1 patients had pulmonary infection and died of respiratory and cardiac arrest due to poor preoperative pulmonary function, and the remaining patients were discharged from hospital. No postoperative intracranial hemorrhage and left upper limb weakness. Stent group patients were partially or completely in the false lumen. In the conservative group, 24 patients had partial thrombosis.Conclusions for patients with B type Stanford aortic dissection, the success rate of TEVAR treatment is high, and the remodeling of the aorta is promoted. The conservative treatment of traditional department of internal medicine can significantly improve the survival rate of patients, and the effect is good. [Key words]: B type Stanford aortic dissection; TEVAR; clinical effect 皮肤软组织扩张术是通过手术将由医用硅胶制成的扩张器植在皮下组织中，并定期向扩张器中注射液体以使其扩张性能得以保持，进而增加皮肤承受的压力