皮肤牵张术联合抗生素骨水泥治疗四肢软组织缺损18例

18 Cases of Clinical Study on Skin Stretch Technique Combined with Antibiotic Bone Cement in the Treatment of Patients Soft Tissue Defect of Extremities

目的:探讨皮肤牵张术结合抗生素骨水泥在皮肤及软组织缺损修复中的应用。方法:2019年1月至2022年1月,采用皮肤牵张术结合抗生素骨水泥治疗18例患者皮肤及软组织缺损,取得了良好的效果。结果:18例患者创面经术后持续牵拉7~14 d后闭合,牵拉时间中位数为10 d。18例患者均获随访,随访时间为3~10个月,平均为4.3个月。创缘皮肤线性愈合,瘢痕小,无创缘血运不畅、坏死、皮肤感觉差等并发症。结论:针对肢体开放性损伤合并软组织创面缺损的患者,采用皮肤牵张术结合抗生素骨水泥操作简便,容易掌握,为治疗创伤后皮肤及软组织缺损,或者骨折术后伤口感染、皮肤坏死提供了一种新的方法。

Objective:To investigate the application of skin stretch technique combined with antibiotic bone cement in skin and soft tissue defect repair.Methods:From January 2019 to January 2022,18 patients with skin and soft tissue defects were treated with skin stretch technique combined with antibiotic bone cement,and good results were achieved.Results:In 18 cases,the wound was closed after 714 d of continuous traction,and the median closure was 10 d.All the 18 patients were followed up for 310 months(mean 4.3 months).The skin at the wound edge healed linearly,scar was small,and complications such as poor blood flow,necrosis and poor skin sensation occurred at the non-invasive edge.Conclusion:For patients with open limb injury combined with soft tissue wound defect,skin stretch technique combined with antibiotic bone cement is simple and easy to master,providing a new method for the treatment of skin and soft tissue defect after trauma,wound infection and skin necrosis after fracture.