肿胀技术在皮肤软组织扩张术中的作用  

Significance of Tumescent Technique for Skin Expansion Technique

作　　者：刘志飞[1] 乔群[1] 王晓军[1] 闫迎军[1] 张海林[1] 曾昂[1] 白明[1] 

机构地区：[1]中国协和医科大学中国医学科学院北京协和医院,100086

出　　处：《整形再造外科杂志》2006年第2期98-99,共2页

摘　　要：目的探讨肿胀技术在皮肤软组织扩张术中的临床意义。方法在行皮肤软组织扩张术的Ⅰ期手术时,在扩张器植入的区域,根据植入的部位和植入的层次注射0.06%肿胀液,然后切开皮肤皮下,按术前标记的剥离范围剥离,缝合切口,拆线后注水;在行皮肤软组织扩张术的Ⅱ期手术时,取出扩张器后,将皮瓣旋转或推进,切除病变,在扩张包膜基底注射0.06%肿胀液,将扩张包膜切除,缝合切口。结果2000年1月～2005年1月,应用100个扩张器,共治疗50例,均获得了满意效果。结论肿胀技术在皮肤软组织扩张术的Ⅰ、Ⅱ期手术中均有术中腔隙便于剥离、副损伤少、术中和术后出血少、术后患者术区疼痛轻等优点。Objective To probe clinical effectiveness of tumescent technique for skin expansion Technique.Methods When skin expansion technique was operated,Tumescent technique was used for the first and second stage-operation of skin expansion technique.Results From January,2000 to January,2005,100 expanders of 50 case were operated with a satisfactory result and no complication.Conclusion It suggests that tumescent technique for skin expansion technique is associated with decreased blood loss and vice-harm,less discomfort and pain,leads to more rapid decoherence cavity and provides better aesthetic results.

关 键 词：肿胀技术 皮肤软组织扩张术 期手术 扩张器 扩张包膜 肿胀液 植入 剥离范围 术中和术后 注射 术后患者 切口 切除 临床意义 缝合 前标记 副损伤 出血少 注水 治疗 

分 类 号：R[医药卫生]