摘要
目的观察改良点状植皮对经久不愈创面的修复作用。方法用三角针钩起皮肤后切取点状皮片，直径约ｌ～２mm，于创面肉芽组织内挖深约３ｍｍ，将皮片植入底部，２～４块／ｃｍ～２，使皮片与肉芽组织底部紧密接触，并被肉芽组织自然覆盖。结果术后 ５天，大部分皮点已贴附于肉芽组织内； １０～ １４天后形成皮岛并向周围延伸；２１天以内，２５例１５ｃｍ～２以下的创面有２４例完全修复，５例１５ｃｍ－２以上的创面经数次植皮后也在２月内完全修复；结论改良点状植皮为修复小面积和普通植皮难以治愈的创面提供了一种较快较满意的方法。
Objective To investigate the repairing effect of seeded pinch skin grafts for the durable and recalcitrant skin defect. Methods The pinch skin was extracted near the defect with cutting needle, about 1- 2mm in diameter. The graft bed was digged into granulation tissue 3mm deep, the pinch skin was put into the bottom, 2 - 4 Pieces per cm-2, and the grafts contacted and covered with granulation tissue tightly. Results Most of the skin grafts became viable after revas- cularization from the graft bed 5 days postoperation, grew into skin islands and extended 10 - 14 days postoperation, 24 of 25 skin defects not bigger than 15cm-2 healed completely in 21 days, and the other 5 defects bigger than 15cm-2 also healed in 2 months after several times of seeded pinch grafts. Conclusion The seeded pinch grafts prove to be a quick and sati- sfactory way for the repairing of skin defects which were small and difficult to be repaired with the usual way.
出处
《创伤外科杂志》
2000年第4期217-219,共3页
Journal of Traumatic Surgery
