组织工程与重建外科杂志2017，Vol.13Issue(5)：256-258,3.DOI:10.3969/j.issn.1673-0364.2017.05.005
皮肤回植结合负压辅助闭合技术治疗儿童皮肤脱套伤42例临床分析
Application of Skin Replantation and Vacuum Assisted Closure Technology for Degloving Injuries in 42 Children
摘要
Abstract
Objective To investigate the clinical efficacy of skin replantation combined with vacuum assisted closure (VAC) technology for the treatment of degloving injuries in children. Methods From August 2013 to August 2017, 42 patients (42 wounds) with large area of degloving injury (32 in limbs and legs, 8 in trunk and 2 in head )were included in this study. Skin replantation and VAC technique were applied in all patients after debridement. The skin condition was observed. Results The flaps all survived in 29 cases (69.05%). In 7 cases, the survival area of the flap was more than 75% (14.29%) because of local skin necrosis which healed after a short term dressing. In 6 cases, the survival area of the flap was more than 50% and less than 75% (14.29%), and the residue wound were healed by secondary skin grafting. Conclusion The skin replantation combined with VAC technology is an effective method for the treatment of degloving injuries in children. It can not only improve the skin graft survival significantly, but also reduce the incidence of secondary operation.关键词
皮肤脱套伤/皮肤回植/负压辅助闭合技术/儿童Key words
Degloving injury/Skin replantation/Vacuum assisted closure/Children分类
医药卫生引用本文复制引用
朱振洪,殷炜,胡官鸿,黄志见,马周瑞..皮肤回植结合负压辅助闭合技术治疗儿童皮肤脱套伤42例临床分析[J].组织工程与重建外科杂志,2017,13(5):256-258,3.基金项目
国家自然科学基金青年项目(81602861) （81602861）
江苏省自然科学基金青年项目(BK20150295). （BK20150295）
