摘要
本文采用整形手术原则,适当切除,松解肉芽基底部胶元纤维板,游离移植大张厚中厚皮片,修复特殊部位感染肉芽创面22例32个部位次。术后1年随访,功能和外观效果均较满意,可视为一种永久性植皮。
Previously, split-thickness skin graft was used as coverage for the.infected wounds in special site. Because severe contracture and deformities occurred later due to thinskin graft, further plastic surgery was needed, yet the results still were unsatisfactory in some cases. In 22 patients, large pieces of thick split-thickness graft were used to Cover the excised granulation wounds where the plate of collagen fibers were relaxed. All the grafts were 100% taken. The functions and appearances were satisfied after one year follow-up. The authors recommended that thick split-thickness skin graft possesses the properties of full-thickness skin graft. It will be taken well, if the infection of wound can be controlled and adequate blood supply of wound is provided.