微等離子體射頻技術在急診面部美容縫合術后的應用(1)
[摘要]目的:探討急診面部外傷患者在美容縫合術后應用微等離子體射頻治療的效果。方法:選擇2016年10月-2017年9月收治的40例面部外傷患者隨機分為2組,每組20例。觀察組患者于急診美容縫合術后行微等離子射頻治療,對照組僅接受美容縫合治療。結果:所有患者經(jīng)美容縫合術后均達到一期愈合,經(jīng)微等離子射頻治療后,面部瘢痕明顯改善,觀察組患者2例完全恢復,10例明顯改善,8例中度改善,無效0例,無嚴重并發(fā)癥發(fā)生。結論:急診面部外傷患者在美容縫合術后應用微等離子體射頻治療可進一步改善面部外觀,治療效果較好,不良反應少,值得臨床推廣應用。
[關鍵詞]美容縫合;面部創(chuàng)傷;微等離子體射頻;急診
[中圖分類號]R622 [文獻標志碼]A [文章編號]1008-6455(2018)05-0042-04
Application of Microplasma Radiofrequency Technique in Emergency Facial Cosmetic Suture
, http://www.www.srpcoatings.com
FU Rong-gang1,CHEN Bo2,YIN Xiu-qing1,ZHANG Xi1,ZOU Deng-long1,SONG Rui1
(1.Department of Burn and Plastic Surgery, the First People’s Hospital of Liangshan,Xichang 615000,Sichuan,China;
2.Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100044,China)
Abstract: Objective To explore the effect of micro-plasma radiofrequency therapy in patients with emergency facial trauma after cosmetic surgery. Methods From October 2016 to September 2017, 40 cases of facial injuries were randomly divided into the two groups, 20 cases in each group. The patients in the observation group received micro-plasma radio-frequency treatment after cosmetic suture, and the control group only received cosmetic suture treatment. Results After cosmetic suture, all of the patients achieved primary healing. After treatment of micro-plasma radio-frequency, the facial scar got improved significant, 2 cases was complete recovery, 10 cases were improved significantly, 8 cases were moderate and none was invalid. The patients were satisfied with no complication after treatment. Conclusion Application of micro plasma radio frequency therapy after cosmetic suture can further improve facial appearance in patients with facial trauma. The treatment effect is better and the adverse reaction is less. It is worthy of clinical application.
, 百拇醫(yī)藥
Key words: cosmetic suture technique; facial injury; micro-plasma radio-frequency; emergency surgery
面部創(chuàng)傷修復是急診外科主要工作之一。傳統(tǒng)急診清創(chuàng)縫合方式,易留下比較明顯的面部瘢痕,嚴重者甚至導致面部畸形和功能障礙。隨著大眾審美水平的提高,人們對外觀的要求也越來越高[1-3]。通過整形美容外科技術的應用明顯減小了傷口處遺留瘢痕,極大地改善了面部外觀。如何進一步減小瘢痕,是整形外科醫(yī)生面臨的一項挑戰(zhàn)。微等離子體射頻治療瘢痕是一種較新的技術[4-5]。本次急診美容縫合術后聯(lián)合微等離子體射頻技術治療面部創(chuàng)傷,取得了較為滿意的效果,現(xiàn)報道如下。
1 資料和方法
1.1 臨床資料:選擇2016年10月-2017年9月急診收治的40例面部急診美容縫合患者為研究對象,其中男18例,女22例;年齡6~51歲;受傷時間3~24h;受傷部位:額顳部20例,顴頰部6例,鼻部8例,頦部6例。隨機分為2組,每組20例。觀察組采用美容縫合聯(lián)合微等離子治療;對照組進行單一美容縫合。等離子體治療排除標準:①孕期、哺乳期婦女;②有精神類疾病史者;③有瘢痕增生、瘢痕疙瘩病史者;④受傷區(qū)域曾行皮膚磨削或激光治療史者;⑤6個月內曾使用如維甲酸、氫醌等治療色素沉著藥物者;⑥2周內行肉毒毒素及透明質酸注射者。
1.2 術前檢查:了解患者基本情況,詢問受傷過程。必要時行頭顱CT等相關檢查,明確病情。檢查患者意識情況,是否存在復合傷、重要組織或結構的損傷(是否合并顱腦、眼球或眼眶、淚小管、腮腺或腮腺導管、面神經(jīng)、下頜骨損傷)。情況不明時請相關科室會診明確病情,并給予相應處理后行清創(chuàng)縫合。對部分病情不平穩(wěn)者,于急診監(jiān)護下實施手術。, http://www.www.srpcoatings.com(付榮剛 陳博 殷秀清 張曦 鄒登龍 宋睿)
[關鍵詞]美容縫合;面部創(chuàng)傷;微等離子體射頻;急診
[中圖分類號]R622 [文獻標志碼]A [文章編號]1008-6455(2018)05-0042-04
Application of Microplasma Radiofrequency Technique in Emergency Facial Cosmetic Suture
, http://www.www.srpcoatings.com
FU Rong-gang1,CHEN Bo2,YIN Xiu-qing1,ZHANG Xi1,ZOU Deng-long1,SONG Rui1
(1.Department of Burn and Plastic Surgery, the First People’s Hospital of Liangshan,Xichang 615000,Sichuan,China;
2.Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100044,China)
Abstract: Objective To explore the effect of micro-plasma radiofrequency therapy in patients with emergency facial trauma after cosmetic surgery. Methods From October 2016 to September 2017, 40 cases of facial injuries were randomly divided into the two groups, 20 cases in each group. The patients in the observation group received micro-plasma radio-frequency treatment after cosmetic suture, and the control group only received cosmetic suture treatment. Results After cosmetic suture, all of the patients achieved primary healing. After treatment of micro-plasma radio-frequency, the facial scar got improved significant, 2 cases was complete recovery, 10 cases were improved significantly, 8 cases were moderate and none was invalid. The patients were satisfied with no complication after treatment. Conclusion Application of micro plasma radio frequency therapy after cosmetic suture can further improve facial appearance in patients with facial trauma. The treatment effect is better and the adverse reaction is less. It is worthy of clinical application.
, 百拇醫(yī)藥
Key words: cosmetic suture technique; facial injury; micro-plasma radio-frequency; emergency surgery
面部創(chuàng)傷修復是急診外科主要工作之一。傳統(tǒng)急診清創(chuàng)縫合方式,易留下比較明顯的面部瘢痕,嚴重者甚至導致面部畸形和功能障礙。隨著大眾審美水平的提高,人們對外觀的要求也越來越高[1-3]。通過整形美容外科技術的應用明顯減小了傷口處遺留瘢痕,極大地改善了面部外觀。如何進一步減小瘢痕,是整形外科醫(yī)生面臨的一項挑戰(zhàn)。微等離子體射頻治療瘢痕是一種較新的技術[4-5]。本次急診美容縫合術后聯(lián)合微等離子體射頻技術治療面部創(chuàng)傷,取得了較為滿意的效果,現(xiàn)報道如下。
1 資料和方法
1.1 臨床資料:選擇2016年10月-2017年9月急診收治的40例面部急診美容縫合患者為研究對象,其中男18例,女22例;年齡6~51歲;受傷時間3~24h;受傷部位:額顳部20例,顴頰部6例,鼻部8例,頦部6例。隨機分為2組,每組20例。觀察組采用美容縫合聯(lián)合微等離子治療;對照組進行單一美容縫合。等離子體治療排除標準:①孕期、哺乳期婦女;②有精神類疾病史者;③有瘢痕增生、瘢痕疙瘩病史者;④受傷區(qū)域曾行皮膚磨削或激光治療史者;⑤6個月內曾使用如維甲酸、氫醌等治療色素沉著藥物者;⑥2周內行肉毒毒素及透明質酸注射者。
1.2 術前檢查:了解患者基本情況,詢問受傷過程。必要時行頭顱CT等相關檢查,明確病情。檢查患者意識情況,是否存在復合傷、重要組織或結構的損傷(是否合并顱腦、眼球或眼眶、淚小管、腮腺或腮腺導管、面神經(jīng)、下頜骨損傷)。情況不明時請相關科室會診明確病情,并給予相應處理后行清創(chuàng)縫合。對部分病情不平穩(wěn)者,于急診監(jiān)護下實施手術。, http://www.www.srpcoatings.com(付榮剛 陳博 殷秀清 張曦 鄒登龍 宋睿)
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