【摘要】 目的:总结刃厚皮片移植覆盖断层皮片供皮区的临床体会。方法:65例患者,其中最常用的断层皮片供皮区为大腿内侧39例,其次背部18例,腹部8例。刃厚皮片供皮区可选择与断层皮供皮区毗邻位置,与断层皮片供皮区面积相当,刃厚皮片覆盖断层皮片供刃厚皮用凡士林纱布覆盖包扎。结果:断层皮片供区经刃厚皮片移植覆盖后创面愈合时间约10~12 d,平均11.2 d,外观满意,无明显瘢痕形成。刃厚皮片供皮区6~9 d愈合,平均7.2 d,创面鲜红、光泽,3月后基本接近正常皮肤。结论:刃厚皮移植覆盖断层皮供区减少瘢痕形成,临床方法简单宜行,是预防断层供皮区瘢痕增生的一种有效的办法。更多还原

【Abstract】 Objective: To evaluate covering donor site of split-thickness skin by razor-thin skin grafting.Methods: Datas of the 65 patients undergoing covering donor site of split-thickness skin by razor-thin skin grafting were studied.The most frequently used donor site of split-thickness skin was the inside skin of the thigh,39 cases;the next were the back skin and belly skin respectively,were 18 cases and 8 cases respectively;the site choice of razor-thin skin might at the abut site of the donor site of split-thickness skin,their area choice might equal;the split-thickness skin was covered by razor-thin skin,the donor site of skin was covered using petroleum jelly(vaseline)gauze.Results: The healing time of the injury area of donor site of split-thickness skin covered by grafted razor-thin skin was 10～12 d,mean 11.2 d,with satisfactory appearance and no conspicuous scar.The healing time of the donor site of razor-thin skin was 6～9 d,mean 7.2 d,the injured area was lustrous and bright red,which structure and function were close to the normal skin in general in 3 months.Conclusion: Covering donor site of skin of split-thickness skin by razor-thin skin grafting may reduce cicatrization,the surgical procedure is simple and feasible,which is an effective means to prevent the cicatrization for donor site of split-thickness skin.更多还原