CAJ | 학술논문

目的探讨整合超薄皮瓣和全厚皮片回植治疗四肢大面积皮肤撕脱伤的临床效果.方法 2002年4月至2007年10月应用超皮瓣和全厚皮片联合体成形回植治疗四肢大面积皮肤撕脱伤患者21例.根据皮肤损伤特点和创面情况,将撕脱皮肤自游离缘向蒂部的绝对缺血区、部分缺血区和供血相对正常区分别修剪成皮片区、交界区和超薄皮瓣区,将成形的联合体回植修复创面.结果本组21例,撕脱皮肤占体表面积2%～6%,平均3.3%,成活皮肤面积占撕脱皮肤90%～100%,平均94.1%,无创面感染,随访12例,一年后回植皮肤质地柔软,无明显挛缩,功能基本恢复.结论本术式有效地整合超薄皮瓣和全厚皮片移植的优点,最大限度地保存了撕脱皮肤的形态学特点,提高撕脱皮肤成活率,手术简单安全易行.
목적 탐토정합초박피판화전후피편회식치료사지대면적피부시탈상적림상효과.방법 2002년4월지2007년10월응용초피판화전후피편연합체성형회식치료사지대면적피부시탈상환자21례.근거피부손상특점화창면정황,장시탈피부자유리연향체부적절대결혈구、부분결혈구화공혈상대정상구분별수전성피편구、교계구화초박피판구,장성형적연합체회식수복창면.결과 본조21례,시탈피부점체표면적2%～6%,평균3.3%,성활피부면적점시탈피부90%～100%,평균94.1%,무창면감염,수방12례,일년후회식피부질지유연,무명현련축,공능기본회복.결론 본술식유효지정합초박피판화전후피편이식적우점,최대한도지보존료시탈피부적형태학특점,제고시탈피부성활솔,수술간단안전역행.
Objective To discuss the treatment of massive skin avulsion of limbs with ultrathin flaps and fuU-thickness skin grafts. Methods Twenty-one patients with massive skin avulsion of limbs were included in this study.In this group,the area of skin avulsion occupied 2%to 6%of the total body surface. Averaging 3.3%.According to the characteristics and conditions of their wound surfaces.the avulsed skin Wma divided into absolute ischemic zone,partial ischemic zone and abnormal zone.The 3 zones were shaped into a graft complex composed of full-thickness skin zone,junctional zone and ultmthin flap zone respectively.The graft complex was transplanted onto the wound surface.Results In all the patients.90%to 100%of the avulsed skin survived.with an average of 94.1%.There wag no infection.In the 12 cases that had bee followed up for 2 months t0 3 years,the grafted skin showed normal shape,color,texture,sensstion,and function. Conclusions Since the graft complex effectively combines the advantages of both full-thickness flaps and ultmthin flaps and maintains the maximum morphology of the avulsed skin as well.it can improve the survival of avulsed skin.Moreover,the operation is easy and safe.