大张次全厚皮片在功能部位软组织缺损修复术中的应用

目的:探讨大张次全厚皮片修复功能部位软组织缺损的临床效果。方法:选择2014年7月-2017年7月安阳市人民医院烧伤整形科收治的54例创伤需植皮修复者,采用大张次全厚皮修复皮肤缺损,观察其修复治疗效果,调查患者满意度。结果:54例患者创面一期愈合50例,皮片完全成活;4例患者皮片出现点片状坏死,经换药二期愈合,成活皮片色泽接近正常皮肤。供区愈合良好,无明显瘢痕。患者均对治疗效果满意。结论:大张次全厚皮片具有类似全厚皮片的优点,获取容易,符合医学、美学要求,是修复功能部位皮肤缺损的一种重要方法。

Clinical Application of Repairing Soft Tissue Defect of Functional Site with Large Sub-full Thickness Skin Graft

Objective To investigate the clinical effect of large sub-full thickness skin graft for reconstruction of skin defects in functional site.Methods 54 patients with trauma or plastic problem from July 2014 to July 2017 that needed skin grafting were selected,then large sub-full thickness skin grafting was applied to repair those skin defects,the effect of treatment and the satisfaction of patients were investigated.Results In 54 cases,50 cases healed in the first stage,and the skin survived completely.The skin of 4 patients showed spot necrosis and healed after dressing change.The color of the surviving skin was close to the normal skin.The donor area healed well without obvious scar.All patients were satisfied with the therapeutic effect.Conclusion The large sub-full thickness skin had the advantages that was similar to full thickness skin,which was easy to obtain and could meet the requirements of medicine and aesthetics.It was an important method to repair the skin defects in functional parts.