摘要
目的:研究手背皮肤缺损的理想修复方法。方法:将手背外伤性创面和手背瘢痕切除后创面的边缘修成斜面形。另用布片制作创面定形模板,并以此在供皮区制作与创面完全相同的定形斜缘皮片。最后将皮片移植于受区,术区均匀加压包扎,术后10～12天拆线。随访1年。结果:切取的38个定形次全厚薄边皮片与受皮区完全吻合,32个皮片顺利成活,一年后随访,皮片色泽和质地优良,边缘部无明显瘢痕形成,美学效果优良。6个定形次全厚薄边皮片术后有点状坏死、水疱形成,后期有小量瘢痕形成和色素沉着,手背大体外观仍然比较好。结论:本文设计的新式植皮技术可以达到无瘢痕愈合效果,术后手功能良好而且美学效果优良。
Objective To investigate an ideal technique for skin reconstruction of hand back. Methods The inclined border of the wound from injury or scar excision was made and a sheet of cloth was used to make the template that is used to trace the wound. Such template is the same as the wound in shape and size. Under the help of the template, a sub-full thickness skin graft with inclined borders were harvested free hand using a ultra-sharp blade from the donor site. The special skin graft was transplanted to the wound of hand back and the circumferential wrapping with adequate pressure was used in the surgical area. The result of the reconstruction was evaluated one year after operation. Results the 38 skin grafts matched the recipient wound well in shape and size and they gained perfect healing Without scar in the borders of the grafts one year later. The well healed graits also had ideat color and texture.The other 6 grafts occurred little skin losses and left visible hypergigmentaion or soft scar,but the total appearance still looks good.Conclusion The new designed skin grafting technique in this paper could achieve acar-free healing,and the effect are much better than conventional technique in function and aesthetics of hands.
出处
《中国美容医学》
CAS
2007年第1期51-53,共3页
Chinese Journal of Aesthetic Medicine
关键词
皮肤移植术
无瘢痕愈合
瘢痕治疗
创面修复
skin grafting
scar-free healing
cicatrical treatment
wound repair
