摘要
目的探讨大面积皮肤软组织缺损感染创面的修复方法。方法对15例大面积皮肤软组织缺损伴创面严重感染的患者,经积极换药后均行两次清创手术,首先采用异体皮片移植暂时覆盖创面,再行自体皮肤移植或皮瓣转移修复创面。结果术后经6个月至4年的随访,自体的皮肤和皮瓣移植后均完全成活,创面修复良好。患者平均住院时间38d。结论两次彻底清创和异体皮片移植暂时覆盖创面是修复大面积皮肤软组织缺损严重感染创面的有效方法,值得推广应用。
Objective To evaluate surgical procedures for Repair of extensive defects of skin and soft tissues with severe infection. Methods Fifteen patients who had extensive defects of skin and soft tissues with severe infection were treated surgically. The wound surfaces were temporarily covered by allogroft skin graft following first debridement and then transplanted with an autograft free skin graft and skin flap after a second debridement. Results After 6-48 months follow up, all the transferred free skin grafts and skin flaps had survived entirely and the average healing time in the hospital was 38 days. Conclusion This method of temporary transplantation of an allograft skin graft with 2 separate debridements was effective and reliable.
出处
《中国美容整形外科杂志》
CAS
2007年第2期120-122,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
皮肤软组织
缺损
感染创面
修复
Skin and soft tissues
Defect
Wound infection
Repair
