应用牵力可调式皮肤牵张器治疗下肢皮肤慢性创面的护理
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摘要
目的:总结牵力可调式皮肤牵张器治疗下肢皮肤慢性创面的应用及护理。方法:选取医院2017年1月至2018年3月下肢皮肤慢性创面患者23例,应用牵力可调式皮肤牵张器治疗其下肢皮肤慢性创面,同时结合临床护理换药。结果:患者住院时间大约18～23 d,平均21. 5 d,随访时间约4～10月,平均5. 5月,所有患者创面都为线性瘢痕,愈合良好,邻近关节功能正常,皮肤弹性恢复,无明显色素沉着。结论:牵力可调式皮肤牵张器是治疗慢性创面的一种有效的方法。
Objective:To summarize the application and nursing of traction adjustable skin stretcher in the treatment of chronic wounds of lower limb skin. Methods: 23 cases of patients with chronic wounds of lower limb skin were selected and the traction adjustable skin stretcher was applied,combined with clinical nursing changes. Results: The hospital stays were about 18 ～ 23 days,an average of 21. 5 days; the follow-up time was about 4 ～ 10 months,an average of 5. 5 months. All patients were healed well,with linear scar,normal adjacent joint function and elastic skin,and without obvious pigmentation. Conclusion: The traction adjustable skin stretcher is an effective method to treat chronic wounds.
Objective:To summarize the application and nursing of traction adjustable skin stretcher in the treatment of chronic wounds of lower limb skin. Methods: 23 cases of patients with chronic wounds of lower limb skin were selected and the traction adjustable skin stretcher was applied,combined with clinical nursing changes. Results: The hospital stays were about 18 ～ 23 days,an average of 21. 5 days; the follow-up time was about 4 ～ 10 months,an average of 5. 5 months. All patients were healed well,with linear scar,normal adjacent joint function and elastic skin,and without obvious pigmentation. Conclusion: The traction adjustable skin stretcher is an effective method to treat chronic wounds.
引文
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[11] Armstrong DG,Sorensen JC,Bushman TR. Exploiting the viscoelastic properties of pedal skin with the sure closure skin stretching device[J]. J Foot Ankle Surg,1995,34:247-253.
[12]张德,丘宏伟,黄耀斌,等.皮肤伸展术在修复肢体创伤性皮肤缺损中的应用[J].中华创伤杂志,2002,18(3):152-154.
[13] Hirshowitz B,Lindenbaum E,Har-Shai Y. A skinstretching device for the harnessing of the viscoelastic properties of skin[J]. Plast Reconstr Surg,1993,92(2):260-270.
[14]董其强,谷国俊,王礼军,等.改良可调式皮肤牵张闭合器在皮肤及软组织缺损修复中的应用[J].中国修复重建外科杂志,2017,31(12):1481-1484.
[15]臧建成,秦泗河.从Wolff定律和Ilizarov张力-应力法则到骨科自然重建理念[J].中国骨伤,2013,26(4):287-290.
[2]王叶武,金玉梅,张勇,等.自制硅胶线皮肤牵张技术在皮肤软组织缺损中的临床效果[J].实用骨科杂志,2016,22(11):1048-1051.
[3]苑博,梁海东,王寿宇,等.新型拉杆式即时皮肤扩张器治疗肢体皮肤缺损[J].中国矫形外科杂志,2017,25(4):371-373.
[4]董霞,梁文,田俊英.预防老年股骨颈骨折患者压床发生的探讨[J].护士进修杂志,1998,13(8):46.
[5]戴燕,赵晓蓉.美盐治疗外科术后感染创面疗效观察[J].华西医学,2011,26(6):940-941.
[6] Barrer S,Pavlides CA,Matsumoto T. Ideal laparotomy closure:comparison of retention sutures with new retention bridging devices[J]. Am Surg,1976,42(8):582-584.
[7] Chin MS,Ogawa R,Lancerotto L,et al. In vivo acceleration of skin growth using a servo-controlled stretching device[J]. Tissue Eng Pt C-Meth,2010,16(3):397-405.
[8] Katzengol R,Topaz M,Gefen A. Tissue loads applied by a novel medical device for closing large wounds[J]. J Tissue Viability,2016,25(1):32-40.
[9] Held M,Engelke AS,Tolzmann DS,et al. Biomechanical skin property evaluation for wounds treated with synthetic and biosynthetic wound dressings and a newly developed collagen matrix during healing of superficial skin defects in a rat models[J]. Wounds,2016,28(9):334-340.
[10] Liang MD,Briggs P,Heckler FR,et al. Presuturing-a new technique for closing large skin defects:Clinical and experimental studies[J]. Plast Reconstr Surg,1988,81:694-702.
[11] Armstrong DG,Sorensen JC,Bushman TR. Exploiting the viscoelastic properties of pedal skin with the sure closure skin stretching device[J]. J Foot Ankle Surg,1995,34:247-253.
[12]张德,丘宏伟,黄耀斌,等.皮肤伸展术在修复肢体创伤性皮肤缺损中的应用[J].中华创伤杂志,2002,18(3):152-154.
[13] Hirshowitz B,Lindenbaum E,Har-Shai Y. A skinstretching device for the harnessing of the viscoelastic properties of skin[J]. Plast Reconstr Surg,1993,92(2):260-270.
[14]董其强,谷国俊,王礼军,等.改良可调式皮肤牵张闭合器在皮肤及软组织缺损修复中的应用[J].中国修复重建外科杂志,2017,31(12):1481-1484.
[15]臧建成,秦泗河.从Wolff定律和Ilizarov张力-应力法则到骨科自然重建理念[J].中国骨伤,2013,26(4):287-290.