经瘢痕内与扩张区主轴垂直小切口埋置扩张器行快速扩张术  

Clinical study of expander placement through intralesional perpendicular short incisions for fast tissue expansion

作　　者：李江[1] 吴玉家[1] 王标[1] 贺忠文[1] 陈明福[1] 

机构地区：[1]济南军区总医院整形美容外科,250031

出　　处：《中华医学美学美容杂志》2002年第1期18-20,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　研究适合快速组织扩张术的扩张器置入方法。方法　选用定制的薄壁长管无注射壶扩张器 ,对 4 5例皮肤瘢痕患者 ,在局部肿胀麻醉下经瘢痕内与扩张区主轴垂直小切口埋置扩张器 ,注水导管外置 ,术中大量注水扩张 ,术后进行 3种方式的快速扩张。结果　在局部肿胀麻醉下 ,皮下间隙制作均获成功。术中出血少 ,所有患者均未输血。 4 5例在快速扩张中无切口感染和裂开并发症。结论　经瘢痕内与扩张区主轴垂直小切口埋置扩张器损伤小 ,安全性高 ,适合进行各种快速皮肤扩张。Objective To investigate a expander placement technique for fast tissue expansion. Methods Port-free thin wall expanders with long tube were specially made and tested on 45 cases of patients with skin scar. All expanders were placed subcutanuously through intralesional perpendicular short incisions with injection tube laid out. A large amount of saline was injected to expanders intraoperatively. Three sorts of fast expansion were carried out. Results Under the local tumescent anaesthesia, subcutaneous pockets were all dissected successfully. The amount of bleeding was less and no patient received blood infusion. All of forty five cases completed fast expansion satisfactorily without incision infection and dehiscence. Conclusion The technique of intralesional perpendicular short incisions has the advantages of less invasion and better safety, and suitable for fast tissue expansion.

关 键 词：组织扩张术 小切口 扩张器 经瘢痕内入路 经扩张区主轴垂直小切口埋置 

分 类 号：R622[医药卫生—整形外科]