应用网状减张小切口一期缝合严重开放伤

Primary Closure of Severe Open Wound with Meshed Relexation Incisions

提出一种新的减张切口手术方法,称之为"网状减张小切口"。每个切口长约8mm～12mm,能自行愈合,不需二期、延期一期缝合或植皮来闭合减张切口和开放伤口。这些减张小切口使创面与外界相通、创面分泌物引流十分通畅,伤肢肿胀易于消退。一期缝合后的伤口皮肤因大量减张小切口的减张而没有过高张力,皮下不会积血、积液、因此皮肤坏死机会明显下降,从而提高了治愈率。本组52例严重软组织开放伤中,治疗优良率占82.8%,失败仅2例(3.8%)。

It is the purpose of this articie to describe a new operative method named meshed relexation incisions. It is quite different compared with traditional relexation incisions in that a long incision became multiple short incisions around the wound edges. and its arrangment was regular and crisscrosing. Each insision was 8mm to 12mm long and can connect without secondery or delayed primary closure and skin grafting. These short incisions keep wound effusions shedding freely, so that the subcutaneous hematoma and the deep dead cavity may not be formed and the swelling of the wound extremely easy to subside The tension of the skin which was closed with the meshed relexation suture had been alleviated. The possibility of the skin necrosis reduced, and the cure rate enhanced remarkabiy. In 52 cases of extensive soft tissue injuries treated with the meshed relexation short incisions, satisfied results were obtained, of which excellent and good results were 82.8% and poor only in 2 cases (3.8%).