[摘要]目的：观察比较扩张后胸三角皮瓣带蒂转移修复术与游离皮片移植在面颈部烧伤瘢痕修复中的疗效。方法：收集2022年3月-2024年1月因面颈部烧伤后瘢痕于笔者医院治疗的患者98例，根据治疗方法分为游离组(n=47，游离皮片移植术)和扩张组(n=51，扩张后胸三角皮瓣带蒂转移修复术)。比较两组的皮片/皮瓣成活、挛缩情况、瘢痕温哥华量表(VSS)评分、颈部活动度及并发症发生率。结果：扩张组的成活率高于游离组，挛缩率低于游离组(P<0.05)。术后，两组VSS评分均降低，且扩张组低于游离组(P<0.05)。术后3个月，两组颈部前屈、后伸、左右侧屈及左右旋转角度均增大，且扩张组大于游离组(P<0.05)。扩张组的总并发症发生率低于游离组(P<0.05)。结论：扩张后胸三角皮瓣带蒂转移修复术在面颈部烧伤后瘢痕的治疗上，成活率、瘢痕改善效果、颈部活动度恢复及安全性均优于游离皮片移植术，更利于患者容貌与功能恢复。

    [关键词]面颈部；烧伤；瘢痕；游离皮片移植术；扩张后胸三角皮瓣带蒂转移修复术

    [中图分类号]R644" " [文献标志码]A" " [文章编号]1008-6455(2025)07-0039-04

    Comparison of Therapeutic Effects of Expanded Thoracic Triangular Flap Pedicled Transfer Repair and Free Skin Grafting in the Repair of Burn Scars

    on the Face and Neck

    LIANG Weipeng， GAO Xi， SUN Bingwei

    ( Department of Burns and Plastic Surgery， Suzhou Hospital， Nanjing Medical University， Suzhou 215002， Jiangsu， China )

    Abstract： Objective" To compare the efficacy of therapeutic effects of expanded thoracic triangular flap pedicled transfer repair and free skin grafting in the repair of burn scars on the face and neck. Methods" Totally 98 patients who received treatment in the author's hospital due to scars after facial and neck burns were collected from March 2022 to January 2024. According to the treatment methods ......