[1] 袁家德,孙丽双,柯家祥,等. 扩张瘢痕皮片移植修复关节部位瘢痕挛缩畸形[J].中国美容医学,2021,(5):38-40.
  YUAN Jia-de,SUN Li-shuang,KE Jia-xiang,et al. Repair of Joint Scar Contracture Deformity with Expanded Scar Skin Graft[J].Medical Aesthetics and Beauty,2021,(5):38-40.
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 扩张瘢痕皮片移植修复关节部位瘢痕挛缩畸形
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年5期
页码:
38-40
栏目:
出版日期:
2021-05-10

文章信息/Info

Title:
 Repair of Joint Scar Contracture Deformity with Expanded Scar Skin Graft
文章编号:
1008-6455(2021)05-0038-03
作者:
 袁家德孙丽双柯家祥李 宁朱志军边 曦
Author(s):
 YUAN Jia-deSUN Li-shuangKE Jia-xiangLI NingZHU Zhi-junBIAN Xi
关键词:
 [关键词]瘢痕挛缩畸形皮肤软组织扩张术扩张瘢痕皮片关节部位烧伤移植修复
Keywords:
 Key words: scar contracture deformity skin and soft tissue expansion expanded scar skin graft joint site burn transplantationrepair
分类号:
R619+.6
文献标志码:
A
摘要:
[摘要]目的:探讨应用背部扩张表浅瘢痕皮片移植修复特重度烧伤后关节部位瘢痕挛缩畸形效果。方法:选择背部有大片
表浅瘢痕,四肢有瘢痕增生挛缩的特重度烧伤后患者6例。一期手术将扩张器置入背部表浅瘢痕处,按照每植皮1cm2注水
7~9ml的比例注水扩张背部表浅瘢痕;二期取出扩张器,切取扩张的瘢痕皮片,去除纤维囊层后游离移植到瘢痕挛缩松解的
继发创面。结果:所移植的扩张瘢痕皮片有4例完全成活,2例大部分成活,畸形改善明显,关节功能基本恢复。结论:该方
法在自体皮源欠缺的情况下,充分利用表浅瘢痕皮片修复瘢痕畸形、重建关节功能,为特重度烧伤后瘢痕挛缩畸形的修复提
供了一种安全有效的手术方法。

Abstract:
Abstract: Objective To explore the application of dilated superficial scars on the back to treat scar contractures in the joints
after severe burns. Methods Six patients with severe burns with large superficial scars on the back and scar hyperplasia
contractures on the extremities were selected. In the first stage of operation, the dilator was placed into the superficial scar of
the back, and the superficial scar of the back was expanded by injecting 7-9ml of water per 1cm2 of skin graft. At the second
stage, the dilator was removed, the expanded scar skin was cut, and the fibrous capsule was removed and then the free graft
was carried to the secondary wound surface of the loosened scar contracture of the limbs. Results 4 cases of the expanded scar
skin graft survived completely, 2 cases mostly survived. The deformity improved obviously, and the joint function basically
recovered. Conclusion This method fully utilizes superficial scar skin to repair scar deformity and reconstruct joint function
in the case of scarce autogenous skin source, and provides a safe and effective surgical method for scar repair in patients with
severe burn.

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更新日期/Last Update: 2021-06-08