手控持续恒压皮肤扩张术  

Manual control for continuous and constant pressure skin expansion

作　　者：关志广[1] 张治平[1] 梁耀婵[1] 

机构地区：[1]广东高州市人民医院整形外科,525200

出　　处：《中华医学美学美容杂志》2003年第3期156-158,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨一种安全、有效、快速的手控持续恒压扩张法。方法　采用皮肤垂直微切口和注射导管外置的方法置入扩张器 ,应用微泵或一次性手控持续输液泵 (PCA)做持续恒压注水代替常规人工间隔注水 ,临床应用 2 0例 ,2 3个扩张器。结果　修复缺损面积最大 16cm× 2 0cm ,最小3cm× 3cm ,注水量 4 0～ 90 0ml,平均扩张时间 18d ,较常规扩张大为缩短、除 1例因扩张器外露而提前行植皮术外 ,其余均顺利完成扩张过程 ,修复效果满意。结论　该法具有安全、舒适、流速稳定、调节方便、扩张时间缩短、并发症少、携带方便等优点 ,值得推广应用。Objective To investigate a safe, highly efficient and rapid skin expansion method. Methods Syringe pump and pump control of automatic (PCA) replacemented normal affusion were used with shorter and vertical skin professional jargon for continuous and constant pressure skin expansion. Twenty cases (23 expanders) were carried out in this way. Results The maximum area of defect was 16 cm×20 cm, and the minimum area of defect was 3 cm×3 cm. The expanders were used for 18 days and the volume of expanders were 40-900 ml . It was more rapidly than normal affusion. There were no more complications except a case of expander leakage, and others expressed their satifactions Conclusion This modification of the skin expansion is a safe, comfortable, convenient to carry with. It is worth recommendation.

关 键 词：手控持续恒压皮肤扩张术 组织扩张器 皮肤移植 并发症 临床资料 

分 类 号：R622[医药卫生—整形外科]