张红燕

【摘 要】目的 探究精細缝合与局部皮瓣在面部外伤修复中的应用效果。方法 选取2021年1月-2023年1月丹阳市人民医院烧伤整形外科收治的面部外伤患者50例，随机分为对照组和观察组，各25例。对照组行传统缝合方式修复，观察组则采用精细缝合与局部皮瓣方式修复，比较两组临床症状情况，治疗前、后瘢痕美观度评分、瘢痕程度评分、并发症发生率以及炎性因子水平。结果 观察组并发症发生率低于对照组（P<0.05）；两组治疗后IL-1、IL-6以及TNF-α水平均低于治疗前，且观察组低于对照组（P<0.05）；两组治疗后VSS各项评分均低于治疗前，且观察组低于对照组（P<0.05）；两组治疗后PSAS、OSAS以及POSAS评分均低于治疗前，且观察组低于对照组（P<0.05）；观察组瘢痕长度、水肿持续及切口愈合时间均短于对照组（P<0.05）；观察组治疗总有效率高于对照组（P<0.05）。结论 在面部外伤修复中应用精细缝合与局部皮瓣，可提高美容效果和创口修复质量，降低瘢痕增生及炎症反应，有效且安全。

【关键词】面部外伤；精细缝合；局部皮瓣；瘢痕

中图分类号：R622 文献标识码：A 文章编号：1004-4949（2023）08-0107-04

Application of Refined Suture and Local Flap in Facial Trauma Repair

ZHANG Hong-yan

（Burn and Plastic Surgery Department of Danyang People’s Hospital， Zhenjiang 212300， Jiangsu， China）

【Abstract】Objective To explore the application effect of refined suture and local flap in facial trauma repair. Methods A total of 50 patients with facial trauma admitted to Burn and Plastic Surgery Department of Danyang People’s Hospital from January 2021 to January 2023 were randomly divided into control group and observation group， with 25 patients in each group. The control group was repaired by traditional suture， while the observation group was repaired by refined suture and local flap. The clinical symptoms， scar aesthetics score， scar degree score， complication rate and inflammatory factor level before and after treatment were compared between the two groups. Results The incidence of complications in the observation group was lower than that in the control group（P<0.05）. After treatment， the levels of IL-1， IL-6 and TNF-α in the two groups were lower than those before treatment， and those in the observation group were lower than those in the control group （P<0.05）. After treatment， the scores of VSS in the two groups were lower than those before treatment， and those in the observation group were lower than those in the control group （P<0.05）. After treatment， the PSAS， OSAS and POSAS scores of the two groups were lower than those before treatment， and those in the observation group were lower than those in the control group （P<0.05）. The scar length， edema duration and incision healing time in the observation group were shorter than those in the control group （P<0.05）. The total effective rate of the observation group was higher than that of the control group （P<0.05）. Conclusion The application of refined suture and local flap in facial trauma repair can improve the cosmetic effect and wound repair quality， reduce scar hyperplasia and inflammatory reaction， and is effective and safe.

【Key words】Facial trauma； Refined suture； Local flap； Scar

面部属于皮肤裸露部位，且具有丰富的血管与神经，患者因突发意外等事故造成损伤的几率较高[1]。当前临床治疗面部外伤多以手术为主，其中普通清创缝合术能够促进患者伤口的愈合，但该术式在治疗过程中的操作精细度欠缺，经常会导致患者术后瘢痕恢复较差的情况出现[2]。因此，最大化保留面部功能并且确保其美观，是现阶段临床烧伤整形外科治疗面部外伤的宗旨。……