摘要
目的 观察皮肤伸展术在关闭火器伤所致皮肤软组织缺损创口中应用的可行性、时机及效果。方法 将 8只白色家猪的臀部及股外侧 ,采用雷管定向爆炸制成圆型皮肤软组织缺损共 32个创口 ,分为三组。实验 1、2组各 3只猪 12个创口 ,对照组 2只猪 8个创口。实验 1、2组及对照组缺损直径分别为 (7.3± 0 .2 ) cm、(9.1± 0 .3) cm和 (7.3± 0 .2 ) cm。实验 1、2组均采用皮肤伸展术予以皮肤牵张 ,对照组不予牵张。结果 皮肤伸展术能使创口明显缩小 ,在臀部创口直径小于 7.0 cm时可以直接牵拉缝合创口 ,股外侧创口小于大腿半径时也可以直接牵拉缝合。伤后 4～ 5天开始牵张的效果最佳 ,牵张一般不应超过 7天。结论 皮肤伸展术不仅可以用于火器伤皮肤软组织缺损的修复 ,而且具有常规修复方法不可比拟的优点。
Objective To investigate the availability and effect of skin stretch in closing the firearm injured soft tissue defect. Methods Eight white pigs with firearm injured soft tissue defect were divided into 3 groups. Each group Ⅰ and group Ⅱ had 3 pigs which were performed skin stretch . The control group had 2 pigs without stretch. The average diameter of the defect in three groups was (7.3±0.2)cm, (9.1±0.3) cm, (7.3±0 2)cm respectively, and the site of defect was on the lateral thigh and buttock. Results Skin stretch could make a visible reduction of the wound. It was possible to close the wound by direct traction when the diameter of the buttock wound was less than 7cm, and when the diameter of the lateral thigh wound was less than the radius of thigh. The skin stretch should not last more than 7 days and the best effect appeared in 4 to 5 days after performing the skin stretch. Conclusion The skin stretch can be applied in the repair of the firearm injured soft tissue defect. It has many advantaged compared with the tradtional treatment.
出处
《中国修复重建外科杂志》
CAS
CSCD
2001年第2期82-85,共4页
Chinese Journal of Reparative and Reconstructive Surgery
基金
军队科研基金资助项目! (98Q0 74)
关键词
皮肤伸展术
火器伤
创面愈合
实验研究
创口闭合
Skin stretch Firearm injury Wound healingFoundation item: Science Foundation of PLA(98Q074)
