【摘 要】目的 分析整形修复烧伤瘢痕中运用皮肤软组织扩张器与硅凝胶瘢痕贴片联合治疗的效果。方法 选择2021年6月-2022年6月广州市花都区人民医院收治的60例烧伤瘢痕患者作为研究对象，采用随机数字表法划分为对照组、试验组，每组30例。对照组予以皮肤软组织扩张器治疗，试验组予以皮肤软组织扩张器联合硅凝胶瘢痕贴片治疗，比较两组创面愈合情况、修复效果。结果 试验组创面皮肤恢复血运时间及愈合时间短于对照组，皮肤扩张率高于对照组，术后皮肤面积及Ⅰ型/Ⅲ型胶原比例优于对照组，感染率低于对照组，差异有统计学意义(P<0.05)；两组治疗后弹性、质地、外观评分均高于治疗前，且试验组弹性、质地、外观评分高于对照组，差异有统计学意义(P<0.05)。结论 整形修复烧伤瘢痕中采取皮肤软组织扩张器与硅凝胶瘢痕贴片联合治疗可加快瘢痕的恢复速度，保护患者肌肤的美观性，促进患者的身心健康，临床疗效良好。

    【关键词】皮肤软组织扩张器；硅凝胶瘢痕贴片；烧伤瘢痕；整形修复

    中图分类号：R65 文献标识码：A 文章编号：1004-4949(2023)21-0118-04

    基金项目：广州市花都区医疗卫生一般科研专项(编号：21-HDWS-044)

    Application Effect of Skin Soft Tissue Expander Combined with Silicone Gel Scar Patch in Plastic Repair of Burn Scar

    WANG Gang

    (Guangzhou Huadu District People’s Hospital， Guangzhou 510800， Guangdong， China)

    【Abstract】Objective To analyze the effect of combined treatment of skin soft tissue expander and silicone gel scar patch in plastic repair of burn scar. Methods A total of 60 patients with burn scars admitted to Huadu District People ’s Hospital of Guangzhou from June 2021 to June 2022 were selected as the research objects. They were divided into control group and experimental group by random number table method ......