一种低耗材牵张装置在皮肤缺损创面中的应用  

Application of lower consumption about K-Wire and nylon cable ties in the repair of skin defects

作　　者：纪翔 陈西民 何旭 解维峰 殷大利 刘育杰 JI Xiang;CHEN Ximin;HE Xu(Department of Hand Surgery,the Center Hospital of Qingdao City,Qingdao 266109,China)

机构地区：[1]山东省青岛市中心医院手足创伤外科

出　　处：《临床外科杂志》2019年第10期887-889,共3页Journal of Clinical Surgery

摘　　要：目的探讨一种低耗材皮肤牵张装置在皮肤软组织缺损创面的临床疗效。方法2016年12月~2018年2月,应用自制皮肤牵张装置(由扎带和克氏针组成)治疗皮肤软组织缺损创面15例,其中缺损创面为大腿皮瓣供区者5例,小腿慢性不愈合创面4例,骨筋膜室综合征切开后缺损创面3例,体表肿物切除后缺损创面3例。缺损范围2.5 cm×4.0 cm^8.0 cm×15.0 cm。结果5例创面术中即刻闭合,术后2周拆除皮肤牵张装置;10例创面经术后持续牵拉闭合,平均闭合时间18.9天;15例病人均获随访,随访时间8~12个月,平均10.2个月。创缘皮肤呈线性愈合,瘢痕较小,克氏针孔处会遗留点状瘢痕,无皮肤坏死、感觉功能减退等并发症发生。结论该装置制作简便,治疗急慢性创面中疗效显著。Objective To summarize the effectiveness of skin distractor with K-Wire and nylon cable ties for repairings skin defects.Methods Between december 2016 and february 2018,15 patients used the install of K-Wire and nylon cable ties for repairings skin defects.Among them,5 cases had thigh flap donor wounds,4 cases had chronic nonunion defects of the lower leg,3 cases had defect wounds after the incision of osteofasical compartment syndrome,and 3 cases had defect wounds after the resection of body suface masses.The largest wound measured 8.cm×15.0 cm,the smallest 2.5 cm×4.0 cm.The wounds defects had enough blood supply,and the patients were tolerable to surgery without diabetes mellitus disease.Results Skin defect wounds closed directly in one stage in 5 cases and device removed after 2 weeks;10 cases were closed after continuously stretching for 15~23 days(mean,18.9 days);All patients were followed up 8~12 months(mean,10.2 months).The wound was linear healing with small scar,and no invasive margin,poor blood flow,necrosis,and poor sensory function happened.Conclusion Our device is a reliable and economical treatment with K-Wire and nylon cable ties in repair of skin defects.It is an improvement on the previous skin stretcher,which can significantly reduce the cost of consumables by about 50%and reduce the burden of patients.

关 键 词：皮肤缺损 皮肤牵张器 缺损修复 

分 类 号：R47[医药卫生—护理学]