中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2013年
2期
97-100
,共4页
张干林%粱伟强%冀晨阳%张金明%陈宇宏
張榦林%粱偉彊%冀晨暘%張金明%陳宇宏
장간림%량위강%기신양%장금명%진우굉
皮肤扩张术%皮肤扩张率%即刻回缩率
皮膚擴張術%皮膚擴張率%即刻迴縮率
피부확장술%피부확장솔%즉각회축솔
Skin expansion%Skin expansion rate%Instantly expanded skin retraction rate
目的 对比研究单腔双扩张器重叠埋置与单个扩张器埋置术的皮肤扩张率与即刻扩张皮瓣回缩率的差别.方法 2009年3月至2012年3月,对22例共39处需行扩张器埋置术者,于24处单腔重叠埋置2个扩张器,15处单腔埋置1个扩张器.采用“湿布样”法测量扩张皮瓣的面积,同时测量手术时需要分离的皮下囊腔面积大小,即扩张皮肤的面积,并计算单位面积皮肤的扩张率.二期手术前在扩张皮瓣的中央取两定点距离5 cm,取出扩张器后,再次测量这两定点的距离,采集数据并计算扩张皮瓣的即刻回缩率.结果 在扩张周期(P=0.06)无明显差异的情况下,单腔重叠埋置双扩张器组与单腔单扩张器埋置组的皮肤扩张率分别为(3.5±0.9)％和(2.6±0.6)％,差异有统计学意义(P=0.002)；二者的扩张皮瓣即刻回缩率分别为(30.3±0.8)％和(32.3±0.9)％,差异无统计学意义(P=0.47).扩张皮瓣即刻回缩率与扩张周期呈现负相关性,相关系数r=-0.768.结论 重叠埋置双扩张器的手术方法增加了单位面积皮肤的扩张率,扩张皮瓣即刻回缩率较传统方法相差无异,所以可供利用的扩张皮肤量绝对数增加了,同时减少大面积缺损时反复扩张的次数,特别适用于乳突区,超过周径一半的四肢缺损以及大面积躯干病变等.
目的 對比研究單腔雙擴張器重疊埋置與單箇擴張器埋置術的皮膚擴張率與即刻擴張皮瓣迴縮率的差彆.方法 2009年3月至2012年3月,對22例共39處需行擴張器埋置術者,于24處單腔重疊埋置2箇擴張器,15處單腔埋置1箇擴張器.採用“濕佈樣”法測量擴張皮瓣的麵積,同時測量手術時需要分離的皮下囊腔麵積大小,即擴張皮膚的麵積,併計算單位麵積皮膚的擴張率.二期手術前在擴張皮瓣的中央取兩定點距離5 cm,取齣擴張器後,再次測量這兩定點的距離,採集數據併計算擴張皮瓣的即刻迴縮率.結果 在擴張週期(P=0.06)無明顯差異的情況下,單腔重疊埋置雙擴張器組與單腔單擴張器埋置組的皮膚擴張率分彆為(3.5±0.9)％和(2.6±0.6)％,差異有統計學意義(P=0.002)；二者的擴張皮瓣即刻迴縮率分彆為(30.3±0.8)％和(32.3±0.9)％,差異無統計學意義(P=0.47).擴張皮瓣即刻迴縮率與擴張週期呈現負相關性,相關繫數r=-0.768.結論 重疊埋置雙擴張器的手術方法增加瞭單位麵積皮膚的擴張率,擴張皮瓣即刻迴縮率較傳統方法相差無異,所以可供利用的擴張皮膚量絕對數增加瞭,同時減少大麵積缺損時反複擴張的次數,特彆適用于乳突區,超過週徑一半的四肢缺損以及大麵積軀榦病變等.
목적 대비연구단강쌍확장기중첩매치여단개확장기매치술적피부확장솔여즉각확장피판회축솔적차별.방법 2009년3월지2012년3월,대22례공39처수행확장기매치술자,우24처단강중첩매치2개확장기,15처단강매치1개확장기.채용“습포양”법측량확장피판적면적,동시측량수술시수요분리적피하낭강면적대소,즉확장피부적면적,병계산단위면적피부적확장솔.이기수술전재확장피판적중앙취량정점거리5 cm,취출확장기후,재차측량저량정점적거리,채집수거병계산확장피판적즉각회축솔.결과 재확장주기(P=0.06)무명현차이적정황하,단강중첩매치쌍확장기조여단강단확장기매치조적피부확장솔분별위(3.5±0.9)％화(2.6±0.6)％,차이유통계학의의(P=0.002)；이자적확장피판즉각회축솔분별위(30.3±0.8)％화(32.3±0.9)％,차이무통계학의의(P=0.47).확장피판즉각회축솔여확장주기정현부상관성,상관계수r=-0.768.결론 중첩매치쌍확장기적수술방법증가료단위면적피부적확장솔,확장피판즉각회축솔교전통방법상차무이,소이가공이용적확장피부량절대수증가료,동시감소대면적결손시반복확장적차수,특별괄용우유돌구,초과주경일반적사지결손이급대면적구간병변등.
Objective To comparatively study the difference of the skin expansion rate and instantly expanded skin retraction rate between implantation of double overlapping expanders and implantation of one single expander.Methods From Mar.2009 to Mar.2012,22 cases with 39 sites for skin expansion,received double overlapping expanders in 24 sites,single expander in 15 sites.The area of original skin and expanded skin was measured by "wet-cloth sampling".Then the skin expansion rate was calculated.A distance of 5 cm at the center of expanded skin was re-measured after taking out the expanders.Then the instantly skin retraction rate was calculated.Results During the same expansion period,the skin expansion rate was (3.5 ± 0.9)％ with the double overlapping expanders and (2.6 ± 0.6) ％ with one single expander,showing a significant difference between the two groups (P =0.002),while the instantly skin retraction rate was not statistically different [(30.3 + 0.8) ％ vs (32.3 ± 0.9) ％ ; P=0.47)].There was a negative relationship between the instantly skin retraction rate and the expansion period (r =-0.768).Conclusions The skin expansion rate can be increased with double overlapping expanders,while the instantly skin retraction rate doesn' t decrease.So the skin expansion efficiency is increased to reduce the re-expansion times for the patients with large lesions.
