目的探讨网状减张小切口缝合法(meshed relaxing short incisions,MRSI)在踝部闭合性骨折切开复位内固定术中皮肤张力高时的应用疗效。方法 2009年1月至2012年1月,30例踝部闭合性骨折患者(AO分型,43-C型12例,43-B型8例,44-B型5例,43-A型...目的探讨网状减张小切口缝合法(meshed relaxing short incisions,MRSI)在踝部闭合性骨折切开复位内固定术中皮肤张力高时的应用疗效。方法 2009年1月至2012年1月,30例踝部闭合性骨折患者(AO分型,43-C型12例,43-B型8例,44-B型5例,43-A型3例,42-C型2例)行切开复位内固定术,术中出现皮肤张力高时采用MRSI一期闭合切口。结果本组患者均获随访,随访时间为6～24个月,平均12.3个月。患者切口均达到一期愈合,未出现切口或骨感染病例。结论在踝部闭合性骨折切开复位内固定术中皮肤张力高时应用MRSI能使切口达到一期愈合,为骨折愈合创造有利条件。展开更多
Objective:To observe effects of meshed relaxing short incisions (MRSI) on the content of endothelin(ET) in rat tension skin flap,and to investigate the mechanism of meshed relaxing short incisions (MRSI) on wound hea...Objective:To observe effects of meshed relaxing short incisions (MRSI) on the content of endothelin(ET) in rat tension skin flap,and to investigate the mechanism of meshed relaxing short incisions (MRSI) on wound healing process of tension skin flap.Method:We designed an experimental model to investigate the change of ET content caused by MRSI and observe the distribution of ET in rat skin flap tissue each period of wound healing.In the meantime,the immunohistochemistry and auto-image analysis were employed.Results:our results showed:(1) ET positive immunologic reaction granules involved in small vascular endothelial cell in rat skin flap tissue increased with prolonging of time within 3 days;(2)the content of ET in MRSI group were significant lower than that of hypertension group (P<0.05).Conclusion:The decrease of ET contents may be one of the causes that MRSI improves microcirculation of skin flap,and reduces edema and facilitates healing of skin flap.展开更多
文摘目的探讨网状减张小切口缝合法(meshed relaxing short incisions,MRSI)在踝部闭合性骨折切开复位内固定术中皮肤张力高时的应用疗效。方法 2009年1月至2012年1月,30例踝部闭合性骨折患者(AO分型,43-C型12例,43-B型8例,44-B型5例,43-A型3例,42-C型2例)行切开复位内固定术,术中出现皮肤张力高时采用MRSI一期闭合切口。结果本组患者均获随访,随访时间为6～24个月,平均12.3个月。患者切口均达到一期愈合,未出现切口或骨感染病例。结论在踝部闭合性骨折切开复位内固定术中皮肤张力高时应用MRSI能使切口达到一期愈合,为骨折愈合创造有利条件。
文摘Objective:To observe effects of meshed relaxing short incisions (MRSI) on the content of endothelin(ET) in rat tension skin flap,and to investigate the mechanism of meshed relaxing short incisions (MRSI) on wound healing process of tension skin flap.Method:We designed an experimental model to investigate the change of ET content caused by MRSI and observe the distribution of ET in rat skin flap tissue each period of wound healing.In the meantime,the immunohistochemistry and auto-image analysis were employed.Results:our results showed:(1) ET positive immunologic reaction granules involved in small vascular endothelial cell in rat skin flap tissue increased with prolonging of time within 3 days;(2)the content of ET in MRSI group were significant lower than that of hypertension group (P<0.05).Conclusion:The decrease of ET contents may be one of the causes that MRSI improves microcirculation of skin flap,and reduces edema and facilitates healing of skin flap.
