应用湿润暴露疗法扩展指尖复合组织移植的极限
Extending the limits of fingertip composite grafting with moist-exposed dressing.
作者信息
Son Daegu, Han Kihwan, Chang David W
机构信息
Department of Plastic and Reconstructive Surgery, Keimyung University, Dongsan Medical Center, 194 Dongsan Dong, Daegu, South Korea 700-712.
出版信息
Int Wound J. 2005 Dec;2(4):315-21. doi: 10.1111/j.1742-4801.2005.00153.x.
We introduced the concept of moist wound healing to extend the limits of fingertip composite grafting. In this retrospective study, we assessed the success of fingertip composite grafting with moist-exposed ointment dressing, which has been shown to maintain adequate moisture for optimal healing by frequent ointment application without the need for a secondary overlying dressing. We reviewed the outcome of composite graft replacement of 60 amputated fingertips in 56 consecutive patients over a period of 3 years and 3 months. Forty-two fingertips had survived completely and 18 had failed. Twelve of 15 fingers among patients younger than 15 years of age and 30 of 45 fingers among those 16 years of age and older had survived completely. We believe that our use of antibiotic ointment to maintain a moist environment was an important factor in improving the survival of composite grafts.
我们引入了湿性伤口愈合的概念，以拓展指尖复合组织移植的适用范围。在这项回顾性研究中，我们评估了使用湿润暴露疗法药膏敷料进行指尖复合组织移植的成功率，该敷料通过频繁涂抹药膏来保持适当的湿度以促进最佳愈合，无需额外的上层敷料。我们回顾了连续56例患者在3年零3个月的时间里60个离断指尖的复合组织移植结果。42个指尖完全存活，18个失败。15岁以下患者的15个手指中有12个完全存活，16岁及以上患者的45个手指中有30个完全存活。我们认为，使用抗生素药膏维持湿润环境是提高复合组织移植存活率的一个重要因素。
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