皮肤牵张带治疗骨筋膜间室减张皮肤缺损伤口

Treatment of Secondary wound closure following fasciotomy with external tissue extender

目的观察皮肤牵张带直接闭合皮肤缺损伤口的临床效果。方法通过8例骨筋膜间室减张5～7d 后皮肤缺损伤口患者放置皮肤牵张带,逐日牵拉,待3～7d 后牵拉至两侧皮肤靠近时缝合切口或自行愈合。结果8例患者伤口均一期愈合,形成线状瘢痕,随访2～12个月,伤口愈合处瘢痕柔软,膝、踝关节活动良好。结论该治疗方法具有手术操作简便,病程短,相对费用低,并发症少,美观等优点,是治疗骨筋膜间室减张皮肤缺损伤口的一种较好方法。

Objective Observe the clinical effects of wound closure directly with external tissue extender Methods After 8 cases of osteofascial compartment of crura were treated by decompressing method for 5-7 days, the external tissue extenders towed the skins on two sides for 3 - 7 days and made them close up, then incisions were sewn up or selfscarred over Results 8 cases were treated and their wounds were scarred over directly and formed linear scar, they were followed up from two months to twelve months, the scars were soft and the movement of knee joints and anklebone was good. Conclusion This method has many advantages, such as the operation is more convenient, course of diseases is shorter, expense is lower, syndrome is little and the scar formed is more handsome, so it is a better method to treat osteofascial compartment syndrome.