颜面部外伤的急诊整形修复处理

Emergency Plastic Repair of Facial Trauma

摘要: 目的：探讨颜面部外伤的急诊整形修复处理效果，总结临床经验。方法：对116例颜面部创伤患者应用整形美容外科原则和技术治疗，观察面部瘢痕、形态等，判断其临床效果。结果：116例患者中113例伤口Ⅰ期愈合，早期开展的3例有愈合不佳，行Ⅱ期处理后亦达到甲级愈合。平均随访6个月，均无明显瘢痕增生、挛缩，无继发畸形，无需后期整形，患者对治疗效果满意。同时与传统普通缝合的107例患者愈合情况进行比较，发现I期愈合率有统计学差异，整形修复组明显高于对照组。结论：应用整形美容外科技术对颜面部创伤进行修复，能有效地减少继发瘢痕，明显提高I期愈合率，最大限度地恢复患者颜面部容貌，减少投诉。

Abstract: Objective: To investigate the effect of emergency plastic repair of facial trauma and summarize the clinical experience. Methods: 116 cases of facial trauma patients with plastic surgery principles and technical treatment, observation of facial scar, morphology, etc., to determine the clinical effect. Result: 113 cases of 116 cases of wound healing, early development of 3 cases of poor healing, the second phase of the line after the treatment also reached grade a healing. The average follow-up of 6 months, no obvious scar hyperplasia, contracture, no secondary deformity, no need for late shaping, the patients were satisfied with the treatment effect. At the same time, compared with the traditional common suture of 107 cases of patients, the healing rate of I phase was found to have statistical differences, plastic repair group was significantly higher than the control group. Conclusion: Application of plastic surgery technology to repair facial trauma can effectively reduce the secondary scar, significantly improve the healing rate of I, to maximize the recovery of patients with facial features and reduce the complaint.