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即时扩张皮瓣修复四肢小面积皮肤缺损的效果
引用本文:王仲锋,刘洋,张松,王晓.即时扩张皮瓣修复四肢小面积皮肤缺损的效果[J].临床骨科杂志,2011,14(1):42-44.
作者姓名:王仲锋  刘洋  张松  王晓
作者单位:河南大学淮河医院骨科,河南,开封,475000
摘    要:目的评价即时扩张皮瓣在修复四肢小面积皮肤缺损中的治疗效果。方法对32例四肢小面积皮肤缺损患者,术中于缺损两侧皮下预置自制简易扩张器,术中即时扩张30~45 min,必要时可间隔5~10 min后行再次扩张1次,然后取出扩张器,Ⅰ期修复皮肤缺损。结果患者均获随访,时间1~18个月。31例四肢皮肤缺损获Ⅰ期修复愈合,1例切口脂肪液化,加强换药后获愈合;皮瓣均无坏死。结论术中即时扩张皮瓣治疗四肢小面积皮肤缺损是一种简单、经济、实用的修复方法。

关 键 词:即时扩张皮瓣  四肢  皮肤缺损  修复

The clinical application of acute expansion flap in repairing small skin defects in the limbs
WANG Zhong-feng,LIU Yang,ZHANG Song,WANG Xiao.The clinical application of acute expansion flap in repairing small skin defects in the limbs[J].Journal of Clinical Orthopaedics,2011,14(1):42-44.
Authors:WANG Zhong-feng  LIU Yang  ZHANG Song  WANG Xiao
Institution:WANG Zhong-feng,LIU Yang,ZHANG Song,WANG Xiao(Dept of Orthopaedics,Huaihe Hospital,Henan University,Kaifeng,Henan 475000,China)
Abstract:Objective To investigate the effect of acute expansion skin flap for repairing of small skin defects of the limbs.Methods 32 patients with limb small skin defects were repaired with intraoperative acute expansion flaps.The pre-made simple expanders were put into bilateral subcutaneously of the skin defects,acute expansion of 30~45 minutes was performed by injection of physiological saline into the expanders.If necessary,expansion was performed once again with 5~10 minutes interval,and then the simple expand...
Keywords:acute expansion flap  limbs  skin defect  repair  
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