拼接法联合等面积供皮法修复皮肤多处缺损

目的：探讨拼接法联合等面积法修复皮肤多处缺损的供皮区取皮法。方法：选取2014年1月至2018年7月温州市中西医结合医院收治的多发皮肤恶性肿瘤患者3例，联合拼接法和等面积法构成第一层次以2个类半切圆沿直径错位排列，第二层次半切圆按等面积法剪切的供皮手术方案。结果：联合拼接法和等面积法缩小了供皮区创面宽度，供皮区缺损能够直接缝合，避免了多处供皮区，患者移植皮片均存活。结论：拼接法联合多重等面积供皮法是修复皮肤多处缺损的较好的选择。

Repair of multiple skin defects with joined donor grafts in equal size

Objective: To explore coalescent methods of a malpositioned joining and the application of skin graft in equal size for preparing donor graft of multiple skin defects. Methods: Three patients in the Wenzhou Hospital of Traditional Chinese Integrated Western Medicine from January 2014 to July 2018 with multiple skin malignant tumors were selected. It’s used in combination with coalescent methods of a malpositioned joining for the first level and application of skin graft in equal size to the second level. Results: By coalescent methods of a malpositioned joining and the application of skin graft in equal size, the width of donor graft was reduced. The donor site was sutured directly. The donor graft in multiple places was avoided. All achieved complete survival of skin grafts. Conclusion: For preparing donor graft of multiple skin defect, the applications with coalescent methods of a malpositioned joining andthe application of skin graft in equal size may be a fine choice.