Comparison of clinical effects between skin and soft tissue expansion and free flap transplantation in the treatment of scalp burns
皮肤软组织扩张术与游离皮瓣移植术治疗头皮烧伤的临床效果比较

摘要

目的 论皮肤软组织扩张术与游离皮瓣移植术在头皮烧伤整形患者中的应用。方法 随机选择在我院医治的头皮烧伤整形患者100例，按随机方式分组，其中50例采取游离皮瓣移植术（对照组），另50例实施皮肤软组织扩张术（观察组），经观察对比，得出结论。结果 对于各项数据的对比来说，观察组治疗方法的各项数据更加有优势，差异有统计学意义（P＜0.05）。治疗之后观察组临床疗效、并发症发生情况、修复皮肤质地、弹性、肤色评分、创面愈合时间、血运恢复时间均优于对照组，治疗时间长于对照组，差异有统计学意义（P＜0.05）。结论 使用本研究方法进行治疗，通过皮肤组织扩张术修复的缺损区域的皮肤柔软而富有弹性，无臃肿，没有秃顶，外型美观，手术成功率高；但对于颅骨外露的大面积头皮缺损患者，游离皮瓣修复更为合适，治疗周期更短。

Abstract

Objective To discuss the application of skin and soft tissue expansion and free flap transplantation in patients with scalp burns and plastic surgery.
Methods 100 patients with scalp burn and plastic surgery who were treated in our hospital were randomly selected and randomly divided into groups, 50 of them received free flap transplantation (control group), and the other 50 received skin and soft tissue expansion (observation group). ,get conclusion.
Results For the comparison of various data, the observation group has more advantages in various data of treatment methods, and the difference is statistically significant (P<0.05). After treatment, the clinical efficacy, complications, repaired skin texture, elasticity, skin color score, wound healing time, and blood supply recovery time in the observation group were better than those in the control group, and the treatment time was longer than that in the control group, and the difference was statistically significant (P<0.05). ).
Conclusion   Using the method of this study, the skin in the defect area repaired by skin tissue expansion is soft and elastic, without swelling, without baldness, beautiful appearance, and high surgical success rate; however, for patients with large-area scalp defects with exposed skull, Free flap repair is more suitable and the treatment cycle is shorter.