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目的总结探讨皮肤软组织扩张法与改良Brent法外耳再造术并发症的发生情况。方法根据外耳再造手术方式分为两组,皮肤软组织扩张法组(162例)和改良Brent法组(127例),并对两组结果进行统计分析。结果皮肤软组织扩张法外耳再造术的并发症发生率显著高于改良Brent法(P<0.05),其中皮肤软组织扩张法的支架外露率显著高于改良Bren!法(P<0.05)。结论(1)皮肤软组织扩张法比改良Brent法更容易出现术后并发症;(2)对于不能接受植皮术后瘢痕的患者,皮肤软组织扩张法更加适用。
Objective To summarize the incidence of complication of auricular reconstruction after skin soft tissue expansion and modified Brent method. Methods According to the method of external ear reconstruction surgery, the patients were divided into two groups: the skin soft tissue expansion group (162 cases) and the modified Brent group (127 cases). The results of two groups were statistically analyzed. Results The incidence of complications of auricular reconstruction with skin and soft tissue dilatation was significantly higher than that of the modified Brent method (P <0.05). The scaffold exposed rate of the skin soft tissue dilatation method was significantly higher than that of the modified Bren method (P <0.05). Conclusions (1) The skin and soft tissue dilatation method is more prone to postoperative complications than the modified Brent method. (2) The skin and soft tissue dilatation method is more suitable for patients who can not accept scar after skin grafting.