摘要
目的分析儿童面部复杂损伤(伤口长度≥8 cm且累及两个及以上解剖区域)的解剖区域分布,探讨整形美容外科修复效果。方法2019年1月至2021年6月,杭州整形医院整形外科收治复杂面部损伤患儿157例,男94例、女63例;年龄2~18岁,平均6.2岁;伤口长度8~20 cm,平均10.3 cm。用整形美容外科技术根据伤口情况设计不同的一期修复方案,并进行术后瘢痕早期防治。结果157例受累解剖区域共331处,其中颊部最多75处,致伤原因中锐器(玻璃、瓷砖、刀具等)割伤78例,居首位。均随访>3个月,一期愈合146例,延迟愈合11例;瘢痕增生8例,149例面部形态及功能恢复良好。结论整形美容外科技术处理儿童面部复杂损伤,注重解剖和功能复位及减张缝合,术后联合多种瘢痕防治措施,效果较满意,值得临床应用。
Objective To analyze the anatomical distribution of complex facial injuries(woun-ds≥8 cm in length and involving two or more anatomical areas)in children,and to explore the effect of plastic and aesthetic surgery.Methods A total of 157 children with complex facial injury were admitted to the Plastic Surgery Department of Hangzhou Plastic Surgery Hospital from January 2019 to June 2021,including 94 males and 63 females,aged from 2 to 18 years,with an average age of 6.2 years.The wound length was 8-20 cm,with an average length of 10.3 cm.Plastic surgery techniques were used to design different primary repair schemes according to specific wound conditions,and early postoperative scar prevention and treatment were carried out.Results In 157 cases,331 anatomical areas were involved,most of which were buccal(75 sites).The injury caused by sharp instruments(glass,ceramic tile,cutting tools,etc.)ranked the first place with 78 cases.All patients were followed up for more than 3 months,and the results showed 146 cases of primary healing,11 cases of delayed healing,8 cases of scar hyperplasia,149 cases of good morphological and functional recovery.Conclusions The advantages of using plastic and cosmetic surgery techniques to treat complex facial injuries lie in the emphasis on anatomical and functional reduction and tension-reducing suture,combined with a variety of postoperative scar prevention and treatment measures,and the results are satisfactory.
作者
高植泉
施俊
孙海洋
王新宇
唐冬生
沈君
姚平
Gao Zhiquan;Shi Jun;Sun Haiyang;Wang Xinyu;Tang Dongsheng;Shen Jun;Yao Ping(Department of Plastic Surgery,Hangzhou Plastic Hospital,Hangzhou 310014,China)
出处
《中华医学美学美容杂志》
2022年第4期312-315,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
基金
杭州市医药卫生科技项目(B20200216)。
关键词
儿童
面部外伤
整形外科
美容缝合
瘢痕
Child
Facial injurie
Plastic surgery
Cosmetic suture
Scar
