摘要
目的：探讨整形外科技术在急诊面部外伤I期修复中的临床疗效。方法将120例急诊面部外伤患者随机分为两组各60例，对照组采用传统的外科清创缝合治疗，实验组遵循整形外科原则进行Ⅰ期清创缝合，强调早期彻底清创、解剖复位、缺损修复、无张力分层缝合、应用皮瓣、留置引流管等技术，根据不同伤情设计不同的修复方法。比较两种方法的临床疗效、患者住院时间、住院费用等。结果两组患者治疗效果差异显著(P <0.05)。实验组患者无感染、血肿以及皮瓣坏死发生；且绝大多数患者可避免进行Ⅱ期整复手术。结论在急诊面部外伤I期修复治疗中采用整形外科原则和技术与普通修复相比疗效显著，既能获得面部功能恢复、减少Ⅱ期整形美容修复，又能达到美容效果，值得临床推广。
Abstract
Objective To explore the clinical effect of the principles and technology of plastic surgery used in I Stage Restoration of Emergency Facial Treuma. Methods 120 cases of patients with facial trauma were randomly divided into two groups, each group of 60 cases, marked as experimental group and control group respectively. While the experimental group adopts flexible plastic surgical repair through debride in early period, anatomical reposition, repair of defects, suture without tension, application of flaps and place of drainage tube were also performed. The control group given traditional repair. Result The difference in two groups was statistically significant(P <0.05). Patients in plastic surgical repair group all healed without postoperative infection, haematoma and necrosis of skin flap,and most of them avoided simple stage Ⅱ plastic surgery. Conclusion The result of plastic surgical repair is better than common in I Stage Restoration of Emergency Facial Treuma. Not only can it recover the facial function and decrease the occurence of the stageII plastic surgery, but also it achieves cosmetic effect; worthy of promotion.
NETL
NSTL
维普
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