摘要
目的 大面积皮肤撕脱伤清创治疗一期植皮的临床疗效观察。方法将撕脱的皮肤剪成中厚皮片 (用取皮刀 )进行游离植皮 ,创面彻底清创 ,皮肤缺损较大时 ,可应用“拉网法”扩大皮肤覆盖面积 ,对并开发放性骨折者采用适当的内固定有利于软组织修复和皮片成活。结果 本组 32例经过 6～ 36个月 (平均 2 2个月 )的随访 ,总优良率达 1 0 0 %。结论 对大面积皮肤撕脱伤应尽早彻底清创 ,撕脱的皮肤切下后修剪成中厚皮片 ,进行一期游离植皮 ,皮肤缺损大时应用“拉网法”并发开放性骨折者采用适当的内固定。
Objective To observe the clinical curative effects of treament of large area of skin torn up by grafting skin during the first period.Methods ①Debride thoroughly the area of the in jured skin,repair the skin torn up into mid-thick pieces of skin(with the skin taking knife) and then graft skin by dissociating.②Use the method of pulling met to enlarge the covering area of skin when the loss of skin is large.③To use proper internal fixation does good to the cartilage and the skin.Results Interview the 32 cases during 6-36 months,(an average of 22 months) the good rate is 100%.Conclusion It is necessary to debride thoroughly as soon as possible for large area of skin torn up.Cut off the skin torn up and repair it into mid-thick pieces of skin,and then gratf skin for the first period by dissociating.Use the method of pulling met when the loss of skin is large.Use proper internal fixation for a patient who is complicated by open fracture.
出处
《井冈山医专学报》
2000年第1期27-28,共2页
Journal of Jinggangshan Medical College
关键词
大面积皮肤撕脱伤
植皮
拉网法
Large area of skin torn up,graft skin,The method of pulling met.
