钛镍记忆合金组织吻合器在全厚皮片移植供区的临床应用  

The Application of Nickel Titanium Memory Alloy Tissue Anastomat in the Donor Site of Full-thickness Skin Grafting

作　　者：申福定 李响 吴志贤 莫自增 李艺 谷方晓 梁杰 

机构地区：[1]广东医科大学附属医院整形外科,广东湛江524000

出　　处：《中国美容医学》2017年第5期17-19,共3页Chinese Journal of Aesthetic Medicine

基　　金：广东省科技计划项目(2013B021800063)

摘　　要：目的:探讨钛镍记忆合金组织吻合器在全厚皮片移植供皮区的应用效果。方法:2015年8月-2016年4月,对57例在下腹部取全厚皮片移植的患者,使用钛镍记忆合金组织吻合器对供皮区行皮内缝合,术后测量切口愈合后瘢痕的宽度、平整度,比较瘢痕与邻近组织的颜色差异。结果:术后随访3个月以上,52例患者的下腹部供皮区伤口I期愈合,5例患者伤口经常规换药后延期愈合;局部可见线状瘢痕,48例患者瘢痕宽度小于1.5mm,9例患者瘢痕宽度超过1.5mm;瘢痕表面平坦者为51例;53例瘢痕颜色与周围正常皮肤肤色接近;医患双方满意度达84.2%。结论:在全厚皮片供皮区应用钛镍记忆合金组织吻合器进行皮内缝合,操作方便,不良反应少,术后呈线状瘢痕,值得临床推广应用。Objective To explore the effects of the application of Ti-Ni memory alloy tissue anastomatin full-thickness skin graft donor site. Methods From August 2015 to April 2011, 57 randomly selected patients who had undergone full-thickness skin graft of lower abdomen, the wound in donor site deployed continuity intradermic suture with Ti-Ni memory alloy tissue anastomat. We evaluate the width and smoothness of the postoperative scars, and we compared the colour of the scars with that of the adjacent area and, if there were variations, to state whether the colour of the scars was lighter or darker than that of the adjoining intact tissue. Results All cases were followed up more than 3 months, 52 wounds of donor sites had primary healing. 5 patients with delayed incision healing were given the conventional dressing change treatment and cured at last. Scars of donor wound were linear. Scar width was less than 1.5mm in 48 cases and scar width was greater than 1.5mm in 9 cases, 51 scars were smooth, 53 scars were the same color as the adjacent intact skin. The satisfaction rate was 84.2% in both doctors and patients. Conclusion Ni-Ti memory alloy tissue anastomat in tradermal suture in full-thickness skin graft donor siteis easy to operate, has no suture reaction, postoperative scarring present linear. It should be promoted in clinic.

关 键 词：钛镍记忆合金组织吻合器 全厚皮片移植 切口 瘢痕 皮内缝合 

分 类 号：R622[医药卫生—整形外科]