简易皮肤伸展术即刻修复四肢软组织缺损  

INSTANT REPAIR OF SOFT TISSUE DEFECT OF LIMB BY SIMPLE SKIN TRACTION TECHNIQUE

作　　者：王森林[1] 郑季南[1] 徐新华[1] 洪庆南[1] 曹杰[1] 

机构地区：[1]解放军第180医院,福建泉州362000

出　　处：《中国修复重建外科杂志》2002年第6期391-392,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　观察皮肤伸展术在四肢软组织缺损中应用的可行性及临床效果。　方法　 1 999年以来 ,采用克氏针、钢丝行简易皮肤伸展术 ,术中即刻修复四肢软组织缺损 42例。软组织缺损范围 2 .5 cm× 2 .0 cm～ 8.0 cm×6.5cm。　结果　简易皮肤伸展术能使 8cm以内的四肢软组织缺损在术中即刻牵拉缝合 ,牵张时间 1 0～ 60分钟 ,平均48分钟。42例术后创面均 期愈合 ,无感染、皮缘坏死 ,末梢血供及感觉均正常 ;愈合时间 1 0～ 1 6天 ,平均 1 2 .8天。32例获 6个月随访 ,外观与功能恢复良好。　结论　简易皮肤伸展术用于四肢软组织缺损修复效果好 ,操作简便 ,值得在临床推广应用。Objective To summarize the application of simple skin traction technique in repair of soft tissue defect of limb. Methods From 1999, 42 cases of soft tissue defect of limbs were repaired by simple skin traction technique instantly; the defect area ranged from 2.5 cm×2.0 cm to 8.0 cm×6.5 cm. Results The soft tissue defect less than 8.0cm can be sutured instantly. All of the wound achieved primary healing without infection and necrosis of skin edge, the circulation and sensation of limbs were normal; healing time was 10 days to 16 days, 12.8 days on average. Thirty two cases were followed up for 6 months; the shape and function recovered well. Conclusion Simple skin traction technique is a good option to repair the soft tissue defect of limbs.

关 键 词：皮肤伸展术 即刻修复 四肢 软组织缺损 创面愈合 

分 类 号：R658[医药卫生—外科学]