微等离子体射频技术在急诊面部美容缝合术后的应用(1)
[摘要]目的：探讨急诊面部外伤患者在美容缝合术后应用微等离子体射频治疗的效果。方法：选择2016年10月-2017年9月收治的40例面部外伤患者随机分为2组，每组20例。观察组患者于急诊美容缝合术后行微等离子射频治疗，对照组仅接受美容缝合治疗。结果：所有患者经美容缝合术后均达到一期愈合，经微等离子射频治疗后，面部瘢痕明显改善，观察组患者2例完全恢复，10例明显改善，8例中度改善，无效0例，无严重并发症发生。结论：急诊面部外伤患者在美容缝合术后应用微等离子体射频治疗可进一步改善面部外观，治疗效果较好，不良反应少，值得临床推广应用。
[关键词]美容缝合；面部创伤；微等离子体射频；急诊
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)05-0042-04
Application of Microplasma Radiofrequency Technique in Emergency Facial Cosmetic Suture
, http://www.100md.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.
, 百拇医药
Key words： cosmetic suture technique； facial injury； micro-plasma radio-frequency； emergency surgery
面部創伤修复是急诊外科主要工作之一。传统急诊清创缝合方式，易留下比较明显的面部瘢痕，严重者甚至导致面部畸形和功能障碍。随着大众审美水平的提高，人们对外观的要求也越来越高[1-3]。通过整形美容外科技术的应用明显减小了伤口处遗留瘢痕，极大地改善了面部外观。如何进一步减小瘢痕，是整形外科医生面临的一项挑战。微等离子体射频治疗瘢痕是一种较新的技术[4-5]。本次急诊美容缝合术后联合微等离子体射频技术治疗面部创伤，取得了较为满意的效果，现报道如下。
1 资料和方法
1.1 临床资料：选择2016年10月-2017年9月急诊收治的40例面部急诊美容缝合患者为研究对象，其中男18例，女22例；年龄6～51岁；受伤时间3～24h；受伤部位：额颞部20例，颧颊部6例，鼻部8例，颏部6例。随机分为2组，每组20例。观察组采用美容缝合联合微等离子治疗；对照组进行单一美容缝合。等离子体治疗排除标准：①孕期、哺乳期妇女；②有精神类疾病史者；③有瘢痕增生、瘢痕疙瘩病史者；④受伤区域曾行皮肤磨削或激光治疗史者；⑤6个月内曾使用如维甲酸、氢醌等治疗色素沉着药物者；⑥2周内行肉毒毒素及透明质酸注射者。
1.2 术前检查：了解患者基本情况，询问受伤过程。必要时行头颅CT等相关检查，明确病情。检查患者意识情况，是否存在复合伤、重要组织或结构的损伤(是否合并颅脑、眼球或眼眶、泪小管、腮腺或腮腺导管、面神经、下颌骨损伤)。情况不明时请相关科室会诊明确病情，并给予相应处理后行清创缝合。对部分病情不平稳者，于急诊监护下实施手术。, http://www.100md.com(付荣刚 陈博 殷秀清 张曦 邹登龙 宋睿)
[关键词]美容缝合；面部创伤；微等离子体射频；急诊
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)05-0042-04
Application of Microplasma Radiofrequency Technique in Emergency Facial Cosmetic Suture
, http://www.100md.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.
, 百拇医药
Key words： cosmetic suture technique； facial injury； micro-plasma radio-frequency； emergency surgery
面部創伤修复是急诊外科主要工作之一。传统急诊清创缝合方式，易留下比较明显的面部瘢痕，严重者甚至导致面部畸形和功能障碍。随着大众审美水平的提高，人们对外观的要求也越来越高[1-3]。通过整形美容外科技术的应用明显减小了伤口处遗留瘢痕，极大地改善了面部外观。如何进一步减小瘢痕，是整形外科医生面临的一项挑战。微等离子体射频治疗瘢痕是一种较新的技术[4-5]。本次急诊美容缝合术后联合微等离子体射频技术治疗面部创伤，取得了较为满意的效果，现报道如下。
1 资料和方法
1.1 临床资料：选择2016年10月-2017年9月急诊收治的40例面部急诊美容缝合患者为研究对象，其中男18例，女22例；年龄6～51岁；受伤时间3～24h；受伤部位：额颞部20例，颧颊部6例，鼻部8例，颏部6例。随机分为2组，每组20例。观察组采用美容缝合联合微等离子治疗；对照组进行单一美容缝合。等离子体治疗排除标准：①孕期、哺乳期妇女；②有精神类疾病史者；③有瘢痕增生、瘢痕疙瘩病史者；④受伤区域曾行皮肤磨削或激光治疗史者；⑤6个月内曾使用如维甲酸、氢醌等治疗色素沉着药物者；⑥2周内行肉毒毒素及透明质酸注射者。
1.2 术前检查：了解患者基本情况，询问受伤过程。必要时行头颅CT等相关检查，明确病情。检查患者意识情况，是否存在复合伤、重要组织或结构的损伤(是否合并颅脑、眼球或眼眶、泪小管、腮腺或腮腺导管、面神经、下颌骨损伤)。情况不明时请相关科室会诊明确病情，并给予相应处理后行清创缝合。对部分病情不平稳者，于急诊监护下实施手术。, http://www.100md.com(付荣刚 陈博 殷秀清 张曦 邹登龙 宋睿)
参见：100md首页 > 保健版 > 美容瘦身 > 美容常识