小切口和皮下减张缝合技术在皮肤软组织扩张器置入术中的应用  

Application of the mini-incision and subcutaneous tension-reduced suture techniques in implanting the skin soft tissue expander

作　　者：王连召[1] 王化冰[2] 李斌斌[1] 

机构地区：[1]北京协和医学院.中国医学科学院.整形外科医院整形十六科,北京100041 [2]北京医院

出　　处：《中国美容医学》2011年第5期719-721,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:介绍小切口和皮下减张缝合技术在皮肤软组织扩张器置入术中的应用,以探寻更符合美学要求的软组织扩张整形美容技术。方法:根据瘢痕类型选用不同型号及形状的可控型扩张器,在局部肿胀麻醉下,经1.0～2.0cm小切口埋置扩张器。冷光源照射下,直视止血,切口皮下做减张缝合,术中注水10%～100%,切口7～10天拆线。结果:236例患者,507个扩张部位手术均获得成功。术后切口裂开3例(0.6%),发生血肿11例(2.2%),平均埋置一个扩张器的时间为45min,平均注水时间12周。手术时间和注水时间比常规方法缩短。结论:扩张器置入手术时应用小切口和皮下减张缝合技术具有损伤小,并发症发生率低,手术时间及注水时间缩短等优点,值得推广。Objective To introduce the application of the mini-incision and subcutaneous tension-reduced suture techniques in implanting the skin soft tissue expander.Methods We selected different types and shapes of controllable expanders based on the types of scar,then implanted the expander through a 1～2cm mini-incision under local tumescent anesthesia,stop bleeding straight under the cold light.After the expander was implanted,the incision was closed with subcutaneous tension-reduced suture.10%～100% of the expander volume was injected during the operation.The suture was removed after 7～10 days.Results The surgeries were successful at 507 expander sites in 236 patients.There were 3 cases（0.6%） of wound dehiscence and 11 cases（2.2%） of hematoma.The average time of implanting an expander was 45 minutes.The average water injection time was 12 weeks.The operation time and water injection time was shorter than the regular approach.Conclusion The application of the mini-incision and subcutaneous tension-reduced suture techniques in implanting the expander has the benefits of less damage,low rate of complication,and deceasing the operation and water injection time.It is a technique that worth adopting.

关 键 词：皮肤软组织扩张术 小切口 减张缝合 

分 类 号：R622[医药卫生—整形外科]