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改良皮肤牵张技术在下肢皮肤缺损治疗中的应用

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  • 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
章一新,E-mail:zhangyixin6688@163.com。

收稿日期: 2019-04-10

  修回日期: 2019-05-14

  网络出版日期: 2019-06-20

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

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Received date: 2019-04-10

  Revised date: 2019-05-14

  Online published: 2019-06-20

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。

本文引用格式

闵沛如,苏薇洁,许恒,宋文超,章一新 . 改良皮肤牵张技术在下肢皮肤缺损治疗中的应用[J]. 组织工程与重建外科杂志, 2019 , 15(3) : 155 -158 . DOI: 10.3969/j.issn.1673-0364.2019.03.007

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.
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