以头皮为供区的大张中厚皮片在创面修复中的应用
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摘要
目的探讨应用头皮作为供区的大张中厚皮片修复创面的疗效。方法回顾性分析2006年1月至2016年1月,应用头皮中厚皮片修复的整形或烧伤创面患者27例。所有创面均分布于四肢和躯干。创面面积约(5 cm×9 cm)~(17 cm×21 cm)。皮片厚度0.30~0.4 mm。结果所有移植皮片绝大部分成活,皮片成活后1~3个月出现挛缩,6~12个月皮片舒展变平,外观良好。头皮供区10~14 d愈合,毛发生长正常,无瘢痕形成。结论以头皮为供区的大张中厚皮片移植,是创面修复的良好选择,可避免供皮区永久损伤,值得推广应用。
Objective To explore the clinical effects of the split-thickness skin graft from scalp in wound repair.Methods From January 2006 to January 2016, 27 patients received wound repair by the split-thickness skin graft from scalp. All of the wounds were located in the extremities and trunk. The size of the wounds ranged from 5 cm×9 cm to 17 cm×21 cm. The thickness of skin graft ranged from 0.30 mm to 0.4 mm. Results Most of the skin grafts survived very well. The skin graft started to contract 1 to 3 months after transplantation, and became flat again 6 months to 1 year after transplantation with good appearance. The donor site in scalp healed in 10 to 14 days, and the hair growth was normal without scar. Conclusion Split-thickness skin graft from scalp is a good choice for the wound repair, which avoids the permanent injury on donor site, and is worthy of clinic application.
Objective To explore the clinical effects of the split-thickness skin graft from scalp in wound repair.Methods From January 2006 to January 2016, 27 patients received wound repair by the split-thickness skin graft from scalp. All of the wounds were located in the extremities and trunk. The size of the wounds ranged from 5 cm×9 cm to 17 cm×21 cm. The thickness of skin graft ranged from 0.30 mm to 0.4 mm. Results Most of the skin grafts survived very well. The skin graft started to contract 1 to 3 months after transplantation, and became flat again 6 months to 1 year after transplantation with good appearance. The donor site in scalp healed in 10 to 14 days, and the hair growth was normal without scar. Conclusion Split-thickness skin graft from scalp is a good choice for the wound repair, which avoids the permanent injury on donor site, and is worthy of clinic application.
引文
[1]任少强,杨静,李大君,等.手术切除慢性创面肉芽组织后中厚皮移植修复的效果观察[J].海南医学,2016,27(3):471-472.
[2]崔磊,汪军,洪志坚,等.电动取皮刀辅助下大张刃厚头皮片覆盖供皮区的临床应用[J].河南中医,2013(B10):119.
[3]孔维昌,夏正国,刘强,等.Meek植皮联合大张皮移植在22例累及特殊部位的大面积烧伤患者救治中的应用[J].中华烧伤杂志,2016,32(4):238-239.
[4]Almodumeegh A,Heidekrueger PI,Ninkovic M,et al.The MEEK technique:10-year experience at a tertiary burn centre[J].Int Wound J,2016,[Epub ahead of print].
[5]杨永熙,冯佳雄,黄晓涛,等.自体头皮移植在修复瘢痕皮肤中厚供皮区创面中的应用价值探讨[J].现代诊断与治疗,2016,26(8):1479-1480.
[6]王常印,崔正军,杨高远,等.自体头皮移植修复中厚皮片供皮区的效果观察[J].兰州大学学报(医学版),2016,42(4):14-18.
[7]朱雄翔,胡大海,陈璧,等.全颜面部深度烧伤的临床治疗[J].中华烧伤杂志,2006,22(1):19-22.
[8]刘泉涌,张正茂,曹建国.逆行掌背动脉穿支皮瓣修复手指软组织缺损[J].浙江创伤外科,2014(3):413-414.
[9]刘军,刘建云,李亚文,等.大张中厚头部皮片在儿童功能部位创面修复中的应用[J].中国基层医药,2016,23(18):2760-2763.
[2]崔磊,汪军,洪志坚,等.电动取皮刀辅助下大张刃厚头皮片覆盖供皮区的临床应用[J].河南中医,2013(B10):119.
[3]孔维昌,夏正国,刘强,等.Meek植皮联合大张皮移植在22例累及特殊部位的大面积烧伤患者救治中的应用[J].中华烧伤杂志,2016,32(4):238-239.
[4]Almodumeegh A,Heidekrueger PI,Ninkovic M,et al.The MEEK technique:10-year experience at a tertiary burn centre[J].Int Wound J,2016,[Epub ahead of print].
[5]杨永熙,冯佳雄,黄晓涛,等.自体头皮移植在修复瘢痕皮肤中厚供皮区创面中的应用价值探讨[J].现代诊断与治疗,2016,26(8):1479-1480.
[6]王常印,崔正军,杨高远,等.自体头皮移植修复中厚皮片供皮区的效果观察[J].兰州大学学报(医学版),2016,42(4):14-18.
[7]朱雄翔,胡大海,陈璧,等.全颜面部深度烧伤的临床治疗[J].中华烧伤杂志,2006,22(1):19-22.
[8]刘泉涌,张正茂,曹建国.逆行掌背动脉穿支皮瓣修复手指软组织缺损[J].浙江创伤外科,2014(3):413-414.
[9]刘军,刘建云,李亚文,等.大张中厚头部皮片在儿童功能部位创面修复中的应用[J].中国基层医药,2016,23(18):2760-2763.