[摘 要]目的 探究扩张后随意型皮瓣修复术治疗面颈部烧伤后瘢痕的临床效果及对患者血清指标含量的影响。方法 选择我院2022年12月-2023年12月收治的86例面颈部烧伤后瘢痕患者为研究对象，采用随机数字表法分成A组与B组，各43例。A组予以邻近皮瓣修复术，B组予以扩张后随意型皮瓣修复术，比较两组瘢痕情况(VSS、PSAS、OSAS评分)、血清因子水平及并发症发生情况。结果 B组术后1、3个月OSAS、VSS、PSAS评分均低于A组(P<0.05)；B组术后1周VEGF、TGF-β1、PDGF水平均高于A组(P<0.05)；B组术后并发症发生率为9.30%，低于A组的16.28%，但差异无统计学意义(P>0.05)。结论 采用扩张后随意型皮瓣修复术治疗面颈部烧伤后瘢痕的效果较佳，能促进瘢痕恢复，提高移植皮瓣生长因子水平，安全性高。

    [关键词] 邻近皮瓣修复术；扩张后随意型皮瓣修复术；面颈部烧伤后瘢痕

    [中图分类号] R619+.6 [文献标识码] A [文章编号] 1004-4949(2024)17-0064-04

    Clinical Effect of Expanded Random Flap RepairSurgery in the Treatment of Scar After Facial and Neck Burn

    LIU Ying-ping

    (Department of Burn， Plastic Surgery and Wound Surgery， Suining Central Hospital， Suining 629000， Sichuan， China)

    [Abstract]Objective To explore the clinical effect of expanded random flap repair surgeryin the treatment of scar after facial and neck burn and its influence on serum index content. Methods A total of 86 patients with facial and neck burn scars admitted to our hospital from December 2022 to December 2023 were selected as the research objects. They were divided into group A and group B by random number table method ......