节段设计原则在面部瘢痕外科治疗中的临床应用

被引:5
作者
高伟成
尹康
胡晓庆
郑翔宇
万昌阳
刘大猛
机构
[1] 南京医科大学附属友谊整形外科医院整形美容外科
关键词
面部线性瘢痕; 挛缩; 张力线; 修复;
D O I
暂无
中图分类号
R622 [整形手术学];
学科分类号
100224 [整形外科学];
摘要
目的探讨节段设计原则在面部瘢痕治疗中的应用。方法自2012年1月至2014年6月,对38例面部瘢痕患者,在修复面部瘢痕时,以面部张力线、组织器官活动分区,以及面部凹凸曲面为界,将瘢痕分解成多个节段瘢痕,对多节段瘢痕采用手术切除,常规美容外科技术分层减张缝合。于术后3~6个月手术切口愈合稳定后,将留存的节段间点状瘢痕行手术或点阵激光治疗。结果术后随访1~3年,瘢痕质地、色泽较好,无明显瘢痕挛缩,无明显凹陷畸形。结论针对面部线型瘢痕,根据面部皮肤张力线对其进行多节段分解,采用手术联合激光等综合手段,可以获得较好的美容效果。
引用
收藏
页码:117 / 119
页数:3
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