摘要
[目的]探讨大面积皮肤撕脱伤后的原位植入的方法。[方法]对32例大面积皮肤撕脱伤病人,潜行剥离和撕脱皮瓣制成全厚或中厚皮瓣原位缝合,植入床的脂肪和失血供组织彻底去除,损伤严重的皮肤全部弃除,缺损部分用正常部位游离皮片或用转移、带血管皮瓣移植,合并骨折的Ⅰ期单臂多功能外固定架固定。[结果]全组原位缝合皮瓣成活率为75·95%。[结论]大面积皮肤撕脱和潜行剥离经处理绝大部分能成活,单纯的原位缝合成活的希望较小。
[Objective] Explore the method of orthotopic transplantation of skin avulsion of large spot. [Method] For the 32 cases of skin avulsion of large spot, make creeping stripping, avulse skin flap, make whole-thick or middle-thick skin flap orthotopic suture, completely remove the fat of transplanted bed and the tissue without blood supply, also the skin severely injured; for the un complete part, make transplantation of free skin graft of the normal spot or transmission and transplantation of skin flap with vessel, make I-stage uni arm multi-function external fixation for those with fracture. [Conclusion] Most skin avulsion of large spot and creeping stripping can live, the pure orthotopic suture live little.
出处
《浙江中医学院学报》
2006年第1期38-39,共2页
Journal of Zhejiang College of Traditional Chinese Medicine
关键词
皮肤
撕脱
原位缝合
skin, avulsion, orthotopic suture
