摘要
目的 探讨皮肤牵张术的适应证。方法 选择 110患者因各种原因引起的皮肤缺损用微型牵张器封闭创面 ,评价近期、远期效果。结果 皮肤牵张术可修复 2 1种原因引起的皮肤缺损。高张力线方向皮肤缺损封闭宽度为2 .5～ 6.0cm。低张力线方向封闭宽度为 4.0～ 13 .5cm。皮肤病变或缺损实际修复面积最小为 3 .0cm× 6.0cm ,最大为 13 .5cm× 2 1.0cm。伤口Ⅰ期愈合率达到 97.3 %。结论 皮肤牵张术可用于多种皮肤缺损的修复 。
Objective To investigate the surgical indications of skin stretching technique in wound closure. Methods 110 patients underwent skin stretching operation for wound closure. The immediate and late effects were evaluated. Results 110 cases of skin defects from 21 sorts of causes were successfully closed. The length of closed wounds in high tension direction reached 2.5～6.0?cm. While in low tension direction it reached 4.0～13.5?cm. The minimal closed wound was 3.0?cm×6.0?cm in area and the maximal 13.5?cm×21.0?cm. The rate of primary healing of closed wounds rcached 97.3% with godd long-term functional and cosmetic outcomes. Conclusion Skin stretching technique proved to be of value in helping to close problematic areas of skin shortage primarily and eliminating the need for skin grafts or local flaps.
出处
《实用美容整形外科杂志》
2002年第6期296-298,共3页
Journal of Practical Aesthetic and Plastic Surgery
