皮肤扩张多因素分析

目的探讨皮肤组织扩张的最佳方法.方法从多方面对1996～2002年间118例患者221个扩张器行皮肤软组织扩张术的回顾性分析.结果除头部外、面、颈、胸、肩背与四肢皮肤扩张的并发症发生率无明显差异(P＞0.05),感染是威胁皮肤扩张的最常见因素.扩张速度以常规扩张为主.结论头部并发症较少,皮肤软组织扩张围手术期要注重感染的预防和控制,同时要综合考虑I期手术的切口设计,囊腔分离的层次、范围及扩张速度等多因素的共同作用.

Mulitiple factors analysis of skin tissue expansion

Objective:To explore the best way of skin tissue expansion.Methods:Total 221 expanders were used for 118 patients from 1996 to 2002.Retrospective study in several aspects was performed.Results:Multiple factors were analyzed in the retrospective study.Incidences of complications were not significantly different (P>0.10)among the groups of face,neck, chest, extremities and shoulder skin tissue expansion. Infection was the most frequent risk factor of skin tissue expansion.The routine expansion was mainly performed.Conclusions:Incidence of complications in scalp was lower than those in other sites.Anti-infection plays a major role in postoperation of skin tissue expansion and multiple factors should be considered as well.