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严重撕脱伤撕脱皮瓣原位回植方法探讨

Planting back avulsed skin flap for repairing severe avulsion wound
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摘要 目的:探讨严重撕脱伤病人撕脱皮肤原位回植修复创面的处理方法。方法:本组病人的创面处理全部采取撕脱皮瓣切除后反取中厚皮移植,用轧皮机将部分皮制成网状皮片(扩展倍数为1:1),植于对外观、功能影响不大的部位,功能部位仍行整张皮片回植。结果:35例病人全部治愈,平均住院日31.7±9.4天。结论:网状皮片具有制作容易、皮片引流好、容易成活和能一次性覆盖创面的特点,尤其适合于严重撕脱伤病人的急诊手术治疗。 Objective: To find a method for repairing severely avulsed wound by planting back avulsed skin flap. Method: The avulsed skin flaps of medium-thickness from the avulsion wounds were selected for back plantation. The flaps were made into mesh grafts (expansion multiple 1 : 1) using a skin-rolling machine and planted back on the wounds where the appearance and the function would not be affected. In functional positions, whole skin grafts were used for plantation. Result: 35 patients were all cured after operation, with an average hospital stay of 31.7±9.4 days. Conclusion: Mesh skin grafts are easy to prepare and can keep an adequate drainage, so the grafts can survive to cover the wound by a single operation. This method is suitable to be used in emergency treatment of patients with severe avulsion.
出处 《中国烧伤创疡杂志》 2005年第3期232-233,共2页 The Chinese Journal of Burns Wounds & Surface Ulcers
关键词 撕脱伤 网状皮片 皮片移植 Avulsion mesh skin graft grafting
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