[摘 要]目的 探究胸部扩张器皮瓣修复术对面颈部瘢痕患者修复效果及皮瓣存活率的影响。方法 选取2021年1月-2024年1月扬州大学附属医院烧伤外科收治的60例面颈部瘢痕患者为研究对象，采用随机数字表法分为对照组与观察组，各30例。对照组行传统皮瓣修复术，观察组行胸部扩张器皮瓣修复术，比较两组皮瓣存活率、外形及功能评分、瘢痕程度。结果 观察组皮瓣存活率为100.00%，高于对照组的86.67%(P<0.05)；两组治疗后外形、功能评分高于治疗前，且观察组高于对照组(P<0.05)；两组治疗后疼痛、血管分布、瘙痒、瘢痕颜色、厚度、柔软度评分低于治疗前，且观察组低于对照组(P<0.05)。结论 对面颈部瘢痕患者采取胸部扩张器皮瓣修复术治疗，能有效提高皮瓣存活率，且美观性及功能性均较好，值得临床应用。

    [关键词] 胸部扩张器皮瓣修复术；面颈部瘢痕；皮瓣存活率

    [中图分类号] R619+.6 [文献标识码] A [文章编号] 1004-4949(2024)24-0150-04

    Repair Effect of Chest Expander Flap Repair on Patients with Face and Neck Scar and its Influence on Flap Survival Rate

    LU Yang

    (Department of Burn Surgery， Affiliated Hospital of Yangzhou University， Yangzhou 225000， Jiangsu， China)

    [Abstract]Objective To explore the repair effect of chest expander flap repair on patients with face and neck scar and its influence on flap survival rate. Methods A total of 60 patients with face and neck scar admitted to the Department of Burn Surgery， Affiliated Hospital of Yangzhou University from January 2021 to January 2024 were selected as the research subjects. They were divided into control group and observation group by the random number table method ......