[摘 要]目的 探讨复合皮移植术及皮肤软组织扩张术在瘢痕修复治疗中的效果及对瘢痕情况的影响。方法 选取孝感市中医医院2023年1月-2024年3月接收的瘢痕修复患者86例，按随机数字表法分为对照组、试验组，各43例。对照组采取复合皮移植术治疗，试验组采取皮肤软组织扩张术治疗，比较两组临床疗效、瘢痕情况、生命质量、并发症发生率、恢复情况、外观满意度。结果 试验组治疗优良率(97.67%)高于对照组(81.40%)(P<0.05)；试验组术后3个月VSS评分低于对照组，BSHS-B评分高于对照组(P<0.05)；试验组创面愈合、血运恢复时间短于对照组(P<0.05)；试验组并发症发生率(4.65%)低于对照组(20.93%)(P<0.05)；试验组外观总满意度(90.70%)高于对照组(72.09%)(P<0.05)。结论 对瘢痕畸形修复患者实施皮肤软组织扩张术治疗的效果良好，可改善瘢痕情况，提高其生命质量和外观满意度，加快其创面愈合，降低并发症发生率。

    [关键词] 瘢痕修复；皮肤软组织扩张术；生命质量；复合皮移植术

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)24-0138-04

    Effect of Composite Dermal Grafting and Skin Soft Tissue Expansion in Scar Repair Treatment and its Influence on Scar Condition

    JIANG Chanjuan1， HUANG Rong2

    (1.Teaching and Research Department of Medical Technology， Health Technology School of Hubei Polytechnic Institute， Xiaogan 432000， Hubei， China； 2.Department of Surgery， Xiaogan Hospital of Traditional Chinese Medicine， Xiaogan 430000， Hubei， China)

    [Abstract]Objective To explore the effect of composite dermal grafting and skin soft tissue expansion in scar repair treatment and the influence on scar condition. Methods A total of 86 patients who received scar repair in Xiaogan Hospital of Traditional Chinese Medicine from January 2023 to March 2024 were selected and divided into control group and experimental group according to the random number table method ......