[1] 袁家德,朱志军,边 曦,等. 病变区域刃厚皮片联合头皮刃厚皮片移植修复大面积顽固性Ⅲ期化脓性汗腺炎切除后创面[J].中国美容医学,2020,(5):73-75.
　 YUAN Jia-de,ZHU Zhi-jun,BIAN Xi,et al. Clinical Effi cacy of Using Epidermal Skin Graft in the Pathological Regions with ScalpEpidermal Skin Graft to Repair the Intractable Phase Ⅲ Hidradenitis Suppurativa[J].Medical Aesthetics and Beauty,2020,(5):73-75.
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 病变区域刃厚皮片联合头皮刃厚皮片移植修复大面积顽固性Ⅲ期化脓性汗腺炎切除后创面

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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年5期
页码:
73-75
栏目:
出版日期:
2020-05-10

文章信息/Info

Title:
 Clinical Effi cacy of Using Epidermal Skin Graft in the Pathological Regions with Scalp
Epidermal Skin Graft to Repair the Intractable Phase Ⅲ Hidradenitis Suppurativa
文章编号:
1008-6455（2020）05-0073-03
作者:
 袁家德; 朱志军; 边 曦; 刘 虎; 李 宁
Author(s):
 YUAN Jia-de; ZHU Zhi-jun; BIAN Xi; LIU Hu; LI Ning
关键词:
 [关键词]化脓性汗腺炎; 刃厚皮片; 回植; 缺损修复
Keywords:
 Key words: hidradenitis suppurativa;  epidermal skin graft;  replanting;  defect repair
分类号:
R758.74+6
文献标志码:
A
摘要:
[摘要]目的：评估利用病变区域有活力的上皮组织，回植修复化脓性汗腺炎病变组织切除后大面积皮肤缺损的临床效果。方
法：将笔者科室2002年1月-2019年3月的7例顽固性Ⅲ期化脓性汗腺炎患者作为研究对象，以滚轴刀削取病变区较完整的表皮
及真皮浅层皮片，清洗干净后回植到病变切除后的创面上，剩余创面以头皮刃厚皮片覆盖，加压包扎，创面规律换药，观察
皮片成活情况。结果：本组共7例患者，创面植皮成活率高，创面经规律换药治疗后愈合良好。结论：利用病变区域刃厚皮
片回植治疗顽固性化脓性汗腺炎切除后创面，减少了正常皮肤供皮区取皮量，可以一次性切除较大面积病变组织，有利于缩
短治疗大面积顽固性化脓性汗腺炎的疗程，减少手术次数，值得临床上广泛应用。

Abstract:
Abstract: Objective To evaluate the clinical effi cacy of replanting of viable epithelial tissue in the pathological regions to
repair the large skin defect after excision of hidradenitis suppurativa. Methods From January 2002 to March 2019 , 7 patients
with hidradenitis suppurativa were brought into the research. The epidermal skin graft in the pathological region were cut
with rolling dermatome, and washed off with physiological sodium chloride solution, then replanted to the wound after the
pathological tissue were excised.The rest of the wound was planted with scalp epidermal skin graft .Pressure dressing or local
package compression bandage, dressing change regularly and observe the survival of skin graft. Results There were 7 patients
in this group, and the survival rate of skin grafting was high. The wound healed well after regular dressing change. Conclusion
For the treatment of intractable hidradenitis suppurativa, replanting epidermal skin graft in the pathological area can reduce the
area of skin taken from the normal skin donor sites, and can be used to remove a larger area of lesion tissue at one time, which
is benefi cial to shorten the course of treatment of intractable phase Ⅲ hidradenitis suppurativa, which is worth using widely in
clinical practice.

相似文献/References:

[1] 任少强,杨 静,杨子政. 中厚皮片在慢性创面修复中的应用[J].中国美容医学,2020,(7):77.
　 REN Shao-qiang,YANG Jing,YANG Zi-zheng. Application of Medium-thickness Skin Grafts in Chronic Wound Repair[J].Medical Aesthetics and Beauty,2020,(5):77.
[2] 陈 健,卢 政,谢包根,等. 单层型人工真皮联合自体刃厚皮片一期修复骨/肌腱外露创面的疗效观察[J].中国美容医学,2020,(9):58.
　 CHEN Jian,LU Zheng,XIE Bao-gen,et al. Clinical Observation of Single-layer Artificial Dermis Combined with AutologousBlade Thickness Skin Graft in Primary Repair of Bone/Tendon Exposed Wounds[J].Medical Aesthetics and Beauty,2020,(5):58.

更新日期/Last Update: 2020-05-29