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目的探讨各种难治性感染缺损创面的治疗方法。方法21例各种难治性感染缺损创面的患者,经全身支持治疗、积极换药后分别行两次清创手术,通过异体皮移植暂时覆盖创面,后再行自体皮肤移植或皮瓣转移最终修复创面。结果移植皮肤和皮瓣均完全愈合,创面得到有效修复,平均住院时间42d。结论通过异体皮移植暂时覆盖创面结合两次彻底清创手术,再综合应用整形外科的各项技术进行难治性感染缺损创面修复的方法,可行有效,值得推广。
Objective To investigate the treatment of various refractory infected wounds. Methods Twenty-one patients with various kinds of refractory infected wounds were treated with systemic supportive therapy. After debridement, two debridement surgeries were performed respectively. The wounds were temporarily covered by allogeneic skin grafts, and finally the autologous skin grafts or flap transfer were performed Repair wounds. Results The skin and skin flap were completely healed, and the wound was effectively repaired with an average hospitalization time of 42 days. Conclusions Allograft skin grafts temporarily covered the wounds combined with two complete debridement operations, and then comprehensive application of various techniques of plastic surgery for refractory infection defect wound repair method is feasible and effective, it is worth promoting.