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带蒂复合组织皮瓣移植术联合点阵激光疗法在头面部中重度烧伤患者美容修复中的应用研究

陈文美 杨韩清 张晓东 王敏

口腔颌面外科杂志2025,Vol.35Issue(2):123-128,6.
口腔颌面外科杂志2025,Vol.35Issue(2):123-128,6.DOI:10.12439/kqhm.1005-4979.2025.02.006

带蒂复合组织皮瓣移植术联合点阵激光疗法在头面部中重度烧伤患者美容修复中的应用研究

Study on the application of pedicle composite tissue flap transplantation combined with fractional laser therapy in the cosmetic restoration of patients with moderate to severe burns on the head and face

陈文美 1杨韩清 1张晓东 1王敏1

作者信息

  • 1. 常州市武进人民医院烧伤整形科,常州 213000
  • 折叠

摘要

Abstract

Objective:To study the effect of pedicle composite tissue flap transplantation combined with fractional laser(FL)therapy in the cosmetic restoration of patients with moderate to severe burns of the head and face.Methods:A total of 82 patients with moderate to severe burns on the head and face,who attended our hospital from May 2018 to May 2023,were selected and divided into the control group and the research group,41 cases each,using a statistical randomization method.The control group underwent pedicle composite tissue flap transplantation,while the research group received pedicle composite tissue flap transplantation combined with FL therapy.The intervention effect,flap survival rate,skin healing time,skin elasticity score,luster score,scar score,and serum tumor necrosis factor-α(TNF-α)and interleukin-8(IL-8)levels were compared between the two groups before and after the intervention.Additionally,the number of adverse reaction cases(infection,hematoma,flap contracture,wound dehiscence)was recorded.Results:After the intervention,the research group was higher than the control group in terms of total treatment efficiency,flap survival rate,skin elasticity score,luster score,and scar score(P<0.05);the research group was shorter than the control group in terms of skin healing time(P<0.05);the research group was lower than the control group in terms of serum TNF-α and IL-8 levels(P<0.05);and the research group was less than the control group in terms of the number of cases of adverse reactions(P<0.05).Conclusion:The combination of pedicle composite tissue flap transplantation and FL therapy improves cosmetic restoration in patients with moderate to severe burns of the head and face,accelerates skin healing,reduces inflammatory irritation,and decreases adverse reactions,demonstrating significant clinical application value.

关键词

带蒂复合组织皮瓣移植术/点阵激光/头面部/烧伤/美容修复

Key words

pedicle composite tissue flap transplantation/fractional laser/head and face/burns/cosmetic repair

分类

医药卫生

引用本文复制引用

陈文美,杨韩清,张晓东,王敏..带蒂复合组织皮瓣移植术联合点阵激光疗法在头面部中重度烧伤患者美容修复中的应用研究[J].口腔颌面外科杂志,2025,35(2):123-128,6.

口腔颌面外科杂志

1005-4979

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