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目的:采用中厚植皮术治疗创伤肉芽创面,评价其可行性。方法:12例儿童创伤肉芽创面施行大张开洞中厚植皮移植术。结果:12例皮片完全存活。随诊皮片柔软耐磨、无瘢痕增生挛缩,除外1例左睑及下唇轻度外翻畸形,其余11例无功能障碍。该术式能有效避免刃厚邮票植皮术后的局部瘢痕增生、挛缩畸形而影响外观、功能及生长发育,常需Ⅱ期多次整形的缺点。结论:笔者建议对于儿童创伤肉芽创面,尤其对于功能部位、环形创面部位及面、会阴等特殊部位的肉芽创面首选中厚植皮术为宜。
Objective: To treat the wounds of granulation wounds by means of medium-thickness skin grafting and evaluate its feasibility. Methods: Twelve cases of trauma granulation wounds were implanted in large open grafts. Results: All the 12 cases survived completely. Follow-up skin soft and wear-resistant, non-hypertrophic scar contracture, except 1 case of left eyelid and lower lip mild valgus deformity, the remaining 11 cases without dysfunction. The surgical procedure can effectively avoid the scarring of post-mortem skin graft local scar hypertrophy, contracture deformity and affect the appearance, function and growth and development, often require the shortcomings of multiple plastic surgery. Conclusion: The author suggests that for the trauma granulation wounds in children, especially for functional parts, annular wound parts and facial, perineal and other special parts of the granulation wounds preferred thick skin graft surgery is appropriate.