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皮肤扩张术机理探讨
引用本文:贺忠文,袁志芳,闫国富.皮肤扩张术机理探讨[J].中华整形外科杂志,2000,16(2):84-86.
作者姓名:贺忠文  袁志芳  闫国富
作者单位:济南军区总医院整形美容科(贺忠文!250031,袁志芳!250031,王标!250031),第三军医大学新桥医院(闫国富)
摘    要:目的 探讨皮肤扩张术(Skin expansion techniqude,SET)的机理。方法 以家犬为动物模型,应用显微分光光度计及放射微球技术,对扩张后皮肤表皮有丝分裂及皮瓣微循环进行了测定。结果 (1)被扩皮肤表皮明显增厚;(2)基底细胞有丝分裂较对照组显著增强;(3)皮瓣微循环较即刻皮瓣显著增强。结论 (1)SET并非仅以代偿为基础,而复制了新的“剩余”皮肤。(2)增强了皮瓣微循环,增大皮

关 键 词:皮肤扩张术  有丝分裂  微循环
修稿时间:1998-03-10

Exploration of the mechanism of skin expansion
Z He,Z Yuan,G Yan.Exploration of the mechanism of skin expansion[J].Chinese Journal of Plastic Surgery,2000,16(2):84-86.
Authors:Z He  Z Yuan  G Yan
Institution:Department of Plastic and Aestetic Surgery, General Hospital, Jinan Military Region of People's Libration Army, Jinan 250031, PR China.
Abstract:OBJECTIVE: In order to explore the mechanism of skin expansion technique (SET). METHODS: Domestic dogs were used in this experiment. The epidermal mitotic activity, capillary blood flow change of the expanded flap were observed with microspectrophotometer and radioactive microsphere technique. RESULTS: 1. The epidermis of expanded skin was significantly thicker than that of other groups (P < 0.05). 2. The epidermal mitotic activity was elevated significantly(P < 0.01). 3. The capillary blood flow of expanded flaps increased significantly (P < 0.01). CONCLUSIONS: 1. The surplus skin produced by SET is the result of replication, not compensation. 2. SET increases skin blood flow, therefore enlarges the survival area of an expanded flap.
Keywords:Skin expansion  \ Mitotic  \ Capillary blood flow
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