组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (3): 155-158.doi: 10.3969/j.issn.1673-0364.2019.03.007

• 论著 • 上一篇    下一篇

改良皮肤牵张技术在下肢皮肤缺损治疗中的应用

闵沛如，苏薇洁，许恒，宋文超，章一新   

  1. 上海交通大学医学院附属第九人民医院整复外科；河南省洛阳正骨医院显微创伤骨科
  • 收稿日期:2019-04-10 修回日期:2019-05-14 出版日期:2019-06-20 发布日期:2019-06-20
  • 作者简介:章一新,E-mail:zhangyixin6688@163.com。

Application of Modified Skin-Stretching Technique in the Treatment of Skin Defect in Lower Limbs

MIN Peiru,SU Weijie,XU Heng,SONG Wenchao,ZHANG Yixin   

  • Received:2019-04-10 Revised:2019-05-14 Online:2019-06-20 Published:2019-06-20
  • Contact: 上海市教委高峰高原计划"研究型医师"项目(20152227)；国家自然科学基金青年项目(81801918)

摘要： 目的 观察改良皮肤牵张技术在下肢皮肤缺损治疗中的应用效果。方法 2014年1月至2017年6月,15例患者应用皮肤牵张技术关闭下肢皮肤缺损创面,缺损面积为5 cm×4 cm～22 cm×11 cm。结果 所有创面一期关闭或一期延迟关闭。术后随访6～12个月,所有患者缺损愈合良好,瘢痕隐蔽,功能良好。结论 改良皮肤牵张技术利用皮肤组织的生物力学属性及机械蠕变特性,为下肢中等至较大皮肤缺损提供了一种安全有效的治疗方法,是传统皮瓣及皮片移植外的一种新选择。

关键词: 皮肤牵张技术, 皮肤缺损, 生物力学属性, 蠕变

Abstract: Objective To explore the effect of modified skin-stretching technique in the treatment of skin defects in lower limbs.Methods From January 2014 to June 2017,15 patients utilized one or two skin-stretching device for the closure of the skin defect ranged from 5 cm×4 cm to 22 cm×11 cm in thigh(n=5)and lower legs(n=10).Results All patients achieved primary or delayed primary closure.The patients were followed up for 6 to 12 months,the defect healed well with concealed scar and good function.Conclusion The modified skin-stretching technique provides a safe and effective method for the treatment of moderate to large skin defects in the lower extremities by utilizing the biomechanical properties and mechanical creep properties of skin,and provides a new option for clinicians in addition to traditional skin graft and free flap transplantation.

Key words: Skin-stretching technique, Skin defect, Biomechani

中图分类号: