[摘 要]目的 比较减张对位缝合与皮瓣转移修复颌面部外伤的效果。方法 选取2020年12月-2023年9月我院收治的100例颌面部外伤患者为研究对象，采用随机数字表法分为对照组和观察组，每组50例。对照组予以减张对位缝合治疗，观察组予以皮瓣转移修复，比较两组血管危象发生率、术后康复指标、皮瓣肿胀程度、疼痛程度、瘢痕情况及创口愈合效果。结果 观察组静脉危象及动脉危象发生率均低于对照组(P<0.05)；观察组瘢痕长度小于对照组，水肿持续时间及切口愈合时间均短于对照组(P<0.05)；观察组术后24、72 h皮瓣肿胀评分均低于对照组(P<0.05)；观察组术后72 h VAS评分低于对照组(P<0.05)；观察组瘢痕色泽、血管分布、柔软度、厚度评分及总分均低于对照组(P<0.05)；观察组创口对位不齐、创面崩裂、创口感染占比均低于对照组(P<0.05)。结论 皮瓣转移修复颌面部外伤效果良好，能促进患者术后远期创口愈合，还可降低血管危象发生率，值得临床应用。

    [关键词] 颌面部外伤；减张对位缝合；皮瓣转移；远期创口愈合效果；血管危象发生率

    [中图分类号] R782.4 [文献标识码] A [文章编号] 1004-4949(2024)12-0059-04

    Comparison of the Effects of Tension Reduction Suture and Flap Transfer in the Repair of Maxillofacial Trauma

    LI Xian-gang

    (Department of Stomatology， Mengyin County Traditional Chinese Medicine Hospital， Linyi 276200， Shandong， China)

    [Abstract]Objective To compare the effect of tension reduction suture and flap transfer in the repair of maxillofacial trauma. Methods A total of 100 patients with maxillofacial trauma admitted to our hospital from December 2020 to September 2023 were selected as the research objects. They were divided into control group and observation group by random number table method ......