Sun Z G, Guo S Z, Lu K H
Plastic Surgery Center, Xijing Hospital, Fourth Military Medical University, Xi'an Shanxi, P. R. China 710032.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001 Mar;15(2):82-5.
To investigate the availability and effect of skin stretch in closing the firearm injured soft tissue defect.
Eight white pigs with firearm injured soft tissue defect were divided into 3 groups. Each group I and group II had 3 pigs which were performed skin stretch. The control group had 2 pigs without stretch. The average diameter of the defect in three groups was (7.3 +/- 0.2) cm, (9.1 +/- 0.3) cm, (7.3 +/- 0.2) cm respectively, and the site of defect was on the lateral thigh and buttock.
Skin stretch could make a visible reduction of the wound. It was possible to close the wound by direct traction when the diameter of the buttock wound was less than 7 cm, and when the diameter of the lateral thigh wound was less than the radius of thigh. The skin stretch should not last more than 7 days and the best effect appeared in 4 to 5 days after performing the skin stretch.
The skin stretch can be applied in the repair of the firearm injured soft tissue defect. It has many advantage compared with the tradtional treatment.
探讨皮肤牵张在闭合火器伤所致软组织缺损中的可行性及效果。
8只造成火器伤软组织缺损的白色猪被分为3组。I组和II组每组3只猪，进行皮肤牵张。对照组2只猪不进行牵张。三组缺损的平均直径分别为(7.3±0.2)cm、(9.1±0.3)cm、(7.3±0.2)cm，缺损部位位于大腿外侧和臀部。
皮肤牵张可使创面明显缩小。当臀部创面直径小于7cm，大腿外侧创面直径小于大腿半径时，可通过直接牵引闭合创面。皮肤牵张时间不应超过7天，牵张后4至5天效果最佳。
皮肤牵张可应用于火器伤所致软组织缺损的修复。与传统治疗相比有诸多优点。
