摘要
目的:采用中厚植皮术治疗创伤肉芽创面,评价其可行性。方法:12例儿童创伤肉芽创面施行大张开洞中厚植皮移植术。结果:12例皮片完全存活。随诊皮片柔软耐磨、无瘢痕增生挛缩,除外1例左睑及下唇轻度外翻畸形,其余11例无功能障碍。该术式能有效避免刃厚邮票植皮术后的局部瘢痕增生、挛缩畸形而影响外观、功能及生长发育,常需Ⅱ期多次整形的缺点。结论:笔者建议对于儿童创伤肉芽创面,尤其对于功能部位、环形创面部位及面、会阴等特殊部位的肉芽创面首选中厚植皮术为宜。
Objective:To evaluate the treatment of granulation wound by intermediate split- thickness skin graft in children.Methods:Twelve cases with traumatic granulation wound under- went the split-thickness skin graft.Results:All of them recovered with good appearance and function except on had mild facial deformity.This method could avoid local scar contracture,and the conventional stamp graft usually leaves an obvious impairment on appearance and function needing further plastic repair.Conclusions:The intermediate split-thickness,skin graft is the first choice for free graft on granulation wound,eapicially in the area of joints,face and perineum.
出处
《中华小儿外科杂志》
CSCD
1997年第2期105-107,共3页
Chinese Journal of Pediatric Surgery
