中华口腔医学研究杂志(电子版) ›› 2011, Vol. 5 ›› Issue (05) : 515 -518. doi: 10.3877/cma.j.issn.1674-1366.2011.05.012 × 扫一扫
临床研究
收稿日期:
出版日期:
通信作者:
Xin-qing LI1,†(), Da-ming WU1, Yong-hong ZHANG1, Xiao-jing LOU1, Zhen-jie LI1
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Corresponding author:
李新青, 吴大铭, 张永红, 娄晓静, 李振杰. 对角线法切取腹部全厚皮片[J/OL]. 中华口腔医学研究杂志(电子版), 2011, 5(05): 515-518.
Xin-qing LI, Da-ming WU, Yong-hong ZHANG, Xiao-jing LOU, Zhen-jie LI. Clinical application of obtaining full-thickness skin graft from abdomen in diagonal way[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2011, 5(05): 515-518.
目的
研究下腹部矩形全厚皮片较好的切取方法。
方法
分别以对折线法和对角线法切取下腹部全厚皮片，对比两者的术后并发症，腹部术后创口外形及创口长度。
结果
两组患者下腹部创口均一期愈合，对折线法腹部创口缝合后的外形均为直线形；而对角线法，若矩形为正方形，腹部创口缝合后为直线，若矩形为长方形，腹部创口缝合后为横斜“Z”形，对角线法腹部创口愈合后长度较对折线法平均短（2.77 ± 0.76） cm。
结论
采用对角线法切取腹部全厚皮片较传统的对折线法能更经济的利用腹部皮肤和减小腹部创口的长度。
Objective
To investigate an improved method in obtaining full-thickness skin graft from lower abdomen.
Methods
The full-thickness skin graft of lower abdomen was cut in two ways. One is the fold line and the other is diagonal line. The postoperative complications and the shape and length of postoperative surgical incision of lower abdomen were evaluated.
Results
The abdominal surgical incisions by two ways were both primary healing. The shape of the abdominal incisions caused by the way of fold line is straight line. While the abdominal incisions caused by rectangle shaped diagonal line are crosswise ＂Z＂. The length of abdominal incisions caused by diagonal line are shorter （2.77 ± 0.76） cm than by fold line.
Conclusion
Obtaining full-thickness skin from lower abdomen in diagonal line is more economical in using of abdominal skin and the length of the abdominal incision than in the way of fold line.