[摘要]目的：探讨A型肉毒毒素联合减张压迫法在面部整形美容切口中的应用效果。方法：随机选择30例面部整形美容手术治疗患者作为治疗组，另外选择30例为对照组，其中治疗组患者行整形美容术后即给予A 型肉毒毒素注射并于拆线后用3M免缝胶布减张压迫切口，对照组术后不予A 型肉毒毒素注射，拆线后即终止治疗。术后9个月对患者进行随访，并对术后切口进行评价，作统计学分析。结果：60例患者切口均为一期愈合。治疗组25例(83.3%)患者切口愈合为成熟期瘢痕，对治疗十分满意；5例(16.7%)患者切口瘢痕稍增宽，对治疗不太满意；治疗组患者表情均完全恢复，未发生A型肉毒毒素注射并发症。对照组仅7例(23.3%)患者切口为基本成熟瘢痕，对切口瘢痕较满意；23例(76.7%)患者切口瘢痕增宽，对治疗不太满意。结论：通过A型肉毒毒素联合减张压迫法在面部整形美容切口中的应用，术后切口愈合理想，患者满意度高，以期更好地促进整形美容术后切口的愈合并防治瘢痕增生。

    [关键词]A型肉毒毒素；减张压迫；面部；整形美容切口

    [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2011)03-0359-03

    Botulinum toxin type A combined with relaxation and repression in the facial plastic surgery incision

    WANG Chang-hui,WEI Cui-e,SUN Rao,DING Xiang-sheng,WANG Ming-ming,PEI Yong-dong

    (Department of Burns and Plastic Surgery,Lianyungang First People's Hospital,Lianyungang 222002,Jiangsu,China)

    Abstract:ObjectiveTo evaluate the efficacy of botulinum toxin type A combined with relaxation and repression in the facial plastic surgery incision.Methods30 cases of facial cosmetic surgery patients were randomized to treatment ......