| 滕 鹏,邵振亚,高 康,苏子宸,夏天芝,王岩松.脱套皮肤一期原位回植联合VSD治疗四肢开放性皮肤脱套伤效果观察[J].中国烧伤创疡杂志,2020,(4):270~272. |
| DOI： |
| 中文关键词: 皮肤脱套伤 四肢 全厚皮片 负压封闭引流技术 疗效 |
| 英文关键词:Skin degloving injury Extremities Full⁃thickness skin flap Vacuum sealing drainage Clinical effect |
| 基金项目: |
|
| 摘要点击次数: 1879 |
| 全文下载次数: 4191 |
| 中文摘要: |
| 目的 探讨脱套皮肤一期原位回植联合负压封闭引流技术 (vacuum sealing drainage, VSD) 治疗四肢开放性皮肤脱套伤的临床效果? 方法 对2017年9月至2018年11月锦州医科大学附属第一医院骨科收治的24例四肢开放性皮肤脱套伤患者采用脱套皮肤一期原位回植联合VSD治疗, 观察治疗效果? 结果 24例患者中回植皮片成活效果为优者20例? 良者3例? 差者1例, 分析回植皮片成活效果差者可能与手术过程中脱套皮肤脱脂不彻底? 隐匿性脱套范围判断不准有关, 经清创? 游离植皮治疗后创面愈合; 术后随访10～12个月, 所有患者愈后皮肤色泽及质地良好, 皮肤浅感觉? 汗腺分泌? 弹性均接近正常, 瘢痕增生较轻, 未导致肢体功能障碍? 结论 脱套皮肤一期原位回植联合VSD治疗四肢开放性皮肤脱套伤, 回植皮片成活率较高, 成活效果及功能恢复满意, 临床应用价值较高。 |
| 英文摘要: |
| Objective To explore the clinical effect of stage?one in situ replantation of degloving skin combined with vacuum sealing drainage (VSD) in treating open skin degloving injury on extremities. Methods Twenty?four patients with skin open degloving injuries on their extremities, admitted to the Department of Orthopedics, the First Affiliated Hospital of Jinzhou Medical University from September 2017 to November 2018, were treated with stage?one in situ replantation of degloving skin combined with vacuum sealing drainage, and the clinical effect was observed. Results Among the 24 pa? tients, 20 achieved excellent skin grafting survival, 3 with good skin grafting survival, and 1 with poor skin grafting surviv? al. The poor skin grafting survival may be related to incomplete degreasing and inaccurate judgment on the range of the hid? den degloving injury, which was healed after debridement and free skin grafting. During 10 - 12 month follow?up after surgery, the healed skin of all patients was good in color and texture, superficial sensibility, sweat gland secretion and elasticity of the healed skin were basically normal, few scar hyperplasia was observed and no limb dysfunction was found. Conclusion The stage?one in situ replantation of degloving skin combined with VSD in the treatment of open skin degloving The Chinese Journal of Burns Wounds & Surface Ulcers 2020 Volinjury on extremities presents high value of clinical application, boasting higher survival rate of skin flaps and satisfying functional recovery. |
|
|
|
|
