Hallock G G
Division of Plastic Surgery, Lehigh Valley Hospital, Allentown, PA, USA.
Plast Reconstr Surg. 1999 Dec;104(7):2286-8. doi: 10.1097/00006534-199912000-00057.
Any split-thickness skin graft donor site is obvious to some degree because of pigment alterations and, at the worst, it can develop hypertrophic scarring. A predictably superior aesthetic result is possible if this site is converted to a full-thickness defect followed by primary closure, because a linear scar is the only residuum. Using a modified tumescent technique, the groin can also be readily used as a split-thickness donor site if a thin graft is preferred; it captures the attributes of an ideal donor site in which pain is diminished, healing rapid, and the scar inconspicuous, just as when it is used as a full-thickness skin graft donor site.
任何供皮区的中厚皮片在某种程度上都很明显，因为会有色素改变，最糟糕的是会出现增生性瘢痕。如果将该供皮区转变为全层缺损并进行一期缝合，那么就有可能获得可预见的更好美学效果，因为只会留下一条线性瘢痕。采用改良的肿胀技术，如果需要较薄的皮片，腹股沟也可以很容易地用作中厚皮片供皮区；它具备理想供皮区的特性，即疼痛减轻、愈合迅速且瘢痕不明显，就如同将其用作全厚皮片供皮区时一样。
