Kwak Minho, Son Daegu, Kim Junhyung, Han Kihwan
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea.
Wound Repair Regen. 2014 Sep-Oct;22(5):678-82. doi: 10.1111/wrr.12206.
This study investigated wound contraction rates according to anatomical regions and wound morphology according to skin tension line in a micropig porcine model. Of the four animals used, skin tension morphology was determined in one pig. In the remaining three pigs, six pairs of full-thickness skin excisions were created on the dorsum (six square and six circular). The wounds were grouped, Wounds #1 through #5, according to the skin tension line and anatomical regions: Wounds #1 and #2, cephalic; Wounds #4 and #5, caudal; and Wound #3, center. Wound sizes and contraction rates were calculated for 28 days. A static tension topography of the micropig dorsum was obtained. Excisional wounds deformed along the local tension vector and healed in this fashion. Wound contraction rates were significantly higher for cephalic wounds (p = 0.004). No significant difference in wound contraction rates were observed between square and circular wounds. Final wound morphology was related to the local tension vector and initial wound shape. Cephalic wounds contracted more quickly. Further studies are needed to characterize scar formation after primarily closed surgical wounds in relation to the newly established skin tension topography and to elucidate the mechanism behind the variable wound contraction rates in the cephalocaudal gradient.
本研究在小型猪模型中,根据解剖区域和皮肤张力线的伤口形态,研究伤口收缩率。在使用的四只动物中,对其中一只猪确定了皮肤张力形态。在其余三只猪的背部创建了六对全层皮肤切除伤口(六个方形和六个圆形)。根据皮肤张力线和解剖区域,将伤口分为1至5号伤口:1号和2号伤口位于头部;4号和5号伤口位于尾部;3号伤口位于中央。计算28天内的伤口大小和收缩率。获得了小型猪背部的静态张力地形图。切除伤口沿局部张力向量变形并以此方式愈合。头部伤口的收缩率显著更高(p = 0.004)。方形和圆形伤口之间未观察到伤口收缩率的显著差异。最终伤口形态与局部张力向量和初始伤口形状有关。头部伤口收缩更快。需要进一步研究,以表征与新建立的皮肤张力地形图相关的一期闭合手术伤口后的瘢痕形成,并阐明头尾梯度中伤口收缩率变化背后的机制。