眉外伤清创缝合术中易被忽视美学问题.docVIP

眉外伤清创缝合术中易被忽视美学问题[摘要]目的：探讨眉外伤急诊清创缝合术中容易忽视的美学问题。方法：分析总结1992年1月至2010年12月，收治的235例眉外伤清创缝合创口愈合后发生眉形移位畸形95例，眉断裂不连接93例，眉部合并缺损47例，分别采用“Z”成形术或局部皮瓣转移术以及文眉修补矫正治疗。结果：通过“Z”成形术或局部皮瓣转移术治疗基本达到眉毛、眉形完整，对位良好者167例；有所改善者为36例；无明显改善者4例。经文眉修补治疗者28例，收到良好疗效。结论：眉外伤急诊清创缝合术中应注重眉的美学特点，对降低眉畸形的发生有着十分重要的意义。 [关键词]眉外伤；清创缝合术；美学 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2011）07-1065-02 Aesthetic issues during debridement of eyebrow injury LIU Man-hua1, XU Fei2, LIU Yi1, TANG Ying-wei3 (1.Department of Burns and Plastic Surgery, The General Hospital of Lanzhou Military Command, Lanzhou 730050, Gansu, China; 2. Department of Radiology, Guangdong Provincial Corps Hospital, Chinese People’s Armed Police Forces; 3.Department of Outpatients, Unit 68070 of PLA) Abstract:ObjectiveTo investigate the aesthetic issues duringdebridement of eyebrow injury. Methods A total of 235 cases with eyebrow injury who received debridement surgery from january 1992 to december 2010 were studied. 95 cases of eyebrow abnormality were cured with ‘Z’ angioplasty,93 cases of eyebrow fracture were cured with local skin flap surgery、and 47 cases of eyebrow eyebrow defects cured with tattoo repair.ResultsThrough “Z” plasty or local skin flap surgery,has basically reached the eyebrows,eyebrow complete,well in 167 cases of bits; has improved in 36 cases,no significant improvement in 4 cases.The tattoo patch treatment in 28 cases,receive a good effect.ConclusionEyebrow trauma debridement surgery should focus on the aesthetic characteristics of eyebrow,which can significantly reduce the incidence of eyebrow deformity. Key words eyebrow injury;debridement surgery;aesthetics 面部外伤常合并眉损伤，因在早期清创缝合术中忽视眉的美学特点，其结果往往造成眉毛缺损、断裂、移位等继发畸形，直接影响患者面部外形美观。随着社会的进步与发展，人们对审美观念的不断转变与提高，重视与追求完美已成为一种时尚。因此要求医务人员在眉外伤早期清创缝合术中应从医学美学的角度上重视每一个细小环节的处置，尽可能避免因伤口处理不当造成眉毛畸形而影响面部美观。我科自1992.1～2010.12共治疗因早期外伤清创术中处置不当导致愈后眉毛缺损、断裂、移位等畸形患者共235例。均收到较好的满意疗效。 1临床资料 1.1 一般资料：本组235例，男性148例，女性87例。年龄最大为65岁，最小患者为6岁。致伤原因，车祸95例，碰撞损伤47例，锐器及玻璃划伤93例。因急症清创缝合后导致眉形移位畸形95例