摘要
目的 探讨脱细胞真皮基质敷料在断指再植指体伴皮肤缺损的临床应用及疗效.方法 2014年5月-2015年5月,对23例断指再植指体伴皮肤缺损患者采用异种脱细胞真皮基质敷料覆盖,Ⅱ期植皮及腹部带蒂皮瓣修复,小创面自行愈合.结果 21例成活,2例坏死.成活指体3例Ⅱ期植皮,8例Ⅱ期腹部带蒂皮瓣修复,10例自行愈合.应用疼痛视觉模拟评分（VAS）评估疼痛水平,VAS评分平均为2分（1-4分）.结论 断指再植伴皮肤缺损应用异种脱细胞真皮基质敷料覆盖,具有使用方便、减轻换药时疼痛、避免血管危象发生、促进伤口愈合等优点,值得在临床推广.
Objective To investigate the clinical practice feasibility and clinical effects of acellular dermal matrix dressing on skin defects in digital replantation. Methods From May 2014 to May 2015, 23 cases of replantation with the skin defect were treated by application of acellular dermal matrix dressing. The second-stage skin grafting and abdominal pedicle flap were transferred, the small-size wound healed automatically. Results All 21 cases survived, necrosis in 2 cases, 3 cases of survival graft body had skin graft, 8 cases were repaired by secondary abdominal pedicle flap, 10 cases obtained self-healing, Visual Analogue Scale applications （VAS） to assess the level of pain, VAS score was 2 points （1-4 points）. Conclusion The application of acellular dermal matrix dressing to treat replantation with skin defect, has the advantage, such as easy to use, to reduce the pain when dressing to avoid the occurrence of vascular crisis, to promote wound healing, it is worth popularization in clinics.
出处
《实用手外科杂志》
2016年第4期457-458,461,共3页
Journal of Practical Hand Surgery
关键词
断指再植
皮肤缺损
脱细胞真皮基质敷料
Replantation of amputated finger
Skin defect
Acellular dermal matrix dressing
