游离股前外侧穿支分叶皮瓣联合点阵激光修复头面部中重度烧伤的美学效果分析OA
Analysis of aesthetic effect of free anterolateral thigh perforator lobulated flap combined with fractional laser in repairing moderate to severe burns on head and face
目的 探讨分析游离股前外侧穿支分叶皮瓣联合点阵激光修复头面部中重度烧伤的美学效果.方法 选取2022年10月至2025年10月新乡市第二人民医院收治的接受美学修复的头面部中重度烧伤患者96例,依据治疗方法差异划分为2组,各48例,对照组采用游离股前外侧穿支分叶皮瓣治疗,观察组在对照组基础上,加用点阵激光,比较两组治疗情况.结果 与对照组相比,观察组总有效率更高,皮肤光泽度、弹性以及瘢痕评分更高,差异有统计学意义(P<0.05).与对照组治疗后相比,观察组患者的血清白细胞介素-2(IL-2)、白细胞介素-6(IL-6)水平更低,差异有统计学意义(P<0.05).观察组并发症发生率较对照组低,差异有统计学意义(P<0.05).结论 在头面部中重度烧伤美学修复中应用游离股前外侧穿支分叶皮瓣联合点阵激光的治疗方案可提高美学修复效果,减轻炎症反应,减少并发症.
Objective To explore and analyze the aesthetic effect of free anterolateral femoral perforator lobulated flap combined with fractional laser in the repair of moderate to severe burns on the head and face.Methods A total of 96 patients with moderate to severe head and facial burns who underwent aesthetic restoration at the Second People's Hospital of Xinxiang from October 2022 to October 2025 were selected and divided into two groups based on treatment differences,with 48 cases in each group.The control group was treated with free anterolateral thigh perforator flap,while the observation group received additional fractional laser therapy on the basis of the control group.The treatment outcomes of both groups were compared.Results Compared with the control group,the total effective rate of the observation group was higher(P<0.05).Compared with the control group after treatment,the skin luster,elasticity and scar score of the observation group were higher(P<0.05).Compared with the control group after treatment,the levels of serum interleukin-2(IL-2)and interleukin-6(IL-6)in the observation group were lower(P<0.05).Compared with the control group,the incidence of complications in the observation group was lower(P<0.05).Conclusion The application of free lateral thigh perforator flap combined with fractional laser in aesthetic repair of severe burns in the head and face can improve the aesthetic repair effect,reduce the body's inflammatory response,and minimize complications.
许锡磊;付合军;郭瑞
新乡市第二人民医院 烧伤科,河南 新乡,453000新乡市第二人民医院 烧伤科,河南 新乡,453000新乡市第二人民医院 烧伤科,河南 新乡,453000
游离股前外侧穿支分叶皮瓣点阵激光头面部中重度烧伤美学修复
free anterior lateral thigh perforator flapfractional laserhead and facemoderate to severe burnsaesthetic repair
《中国医疗美容》 2026 (4)
60-64,5
评论