[摘 要]目的 比较烧伤整形(BPS)患者使用复合皮移植(CSG)、皮肤软组织扩张术(SSTD)的效果。方法 选取2021年6月-2022年6月我院门诊部收治的BPS患者62例，随机分为A组和B组，每组31例。A组行CSG，B组行SSTD，比较两组有效性、安全性、临床指标、美观满意度、生活质量及血清指标。结果 B组治疗总有效率高于A组，并发症发生率低于A组(P<0.05)；B组创面愈合时间、创面皮肤恢复血运时间短于A组(P<0.05)；B组美观满意度高于A组(P<0.05)；B组SF-36各维度评分均高于A组(P<0.05)；B组ALB高于A组，ICAM-1、可溶性E-选择素低于A组(P<0.05)。结论 BPS患者使用SSTD的效果良好，能有效改善临床症状，缩短术后恢复时间，提升生活质量，满足患者对美观的需求，且并发症发生率较低。

    [关键词] 烧伤整形；复合皮移植；皮肤软组织扩张术

    [中图分类号] R625 [文献标识码] A [文章编号] 1004-4949(2024)04-0048-04

    Comparison of the Application Effects of Composite Skin Graft and Skin Soft Tissue Dilatation in Burn Plastic Surgery

    YIN Wei-li

    (Changsha Fanxi Medical Cosmetology Clinic， Changsha 410023， Hunan， China)

    [Abstract]Objective To analyze the effects of composite skin graft and skin and soft tissue dilatation in burn plastic surgery patients. Methods A total of 62 BPS patients admitted to our clinic from June 2021 to June 2022 were randomly divided into group A and group B， with 31 patients in each group. Group A received CSG， group B received SSTD， and the efficacy， safety ......