检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:郑江红[1] 吴宏[2] 丁志[1] 刘庆阳[1] 金一平[1] 杨松林[1]
机构地区:[1]上海交通大学附属第六人民医院整形外科,上海200233 [2]第二军医大学长征医院整形外科,上海200003
出 处:《中国美容医学》2006年第11期1248-1249,I0007,共3页Chinese Journal of Aesthetic Medicine
摘 要:目的:总结应用皮肤扩张术修复面部皮肤病损的临床经验。方法:Ⅰ期手术选用50~400ml容量的扩张器埋植于面部病损邻近皮肤正常区域的皮下层,注水扩张1~4个月;Ⅱ期切除面部病损,运用扩张皮瓣修复皮肤缺损。结果:23例中,21例面部病损切除后利用扩张皮肤形成局部皮瓣一次完成修复,修复后的皮肤质地和色泽与受区接近,外形满意。一次修复缺损创面最大者约8cm×11cm。1例于Ⅰ期手术后53天扩张器外露,提前取出扩张器形成局部皮瓣加植皮修复,效果良好;1例为较大面积的面部扁平瘢痕,第一次扩张后仍残留1/4瘢痕,经二次扩张遂完全切除瘢痕并修复。结论:运用皮肤扩张术修复面部病损切除后的皮肤缺损是一种较为理想的修复方法,在某些特殊情况下,可能还需要辅助植皮或应用连续扩张法完成修复。Objective To summarize our clinical experiences of application of tissue expansion in repair of facial cutaneous lesions. Methods Tissue expanders of 50-400ml in size were implanted beneath the skin adjacent to cutaneous lesions. One to four months after periodically injecting normal saline solution into the expander to slowly expand the overlaying skin, the expander was taken out, and the expanded skin was used to form local flaps to resurface the skin defect due to removing of facial lesions. Results Twenty-one in 23 cases underwent successful expanded flap correction of defects after lesion removing, with maximal defect being 8cm by 11cm in size. One case presented expander exposure 53 days after surgery, thus the expander was taken out and the skin lesion was removed and resurfaced with expanded flap in addition to splitting skin grafting. Extensive facial scar in another case was corrected with twice sequential expansion. Conclusion Skin expansion is a good choice for correction of defects due to facial cutaneous lesion removing. Splitting skin grafting and sequential skin expansion are necessary when defect is too large to correct or expanded flap is not large enough.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.158