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三种用于闭合犬类肢体皮肤缺损的皮肤拉伸装置的比较。

Comparison of three skin-stretching devices for closing skin defects on the limbs of dogs.

作者信息

Tsioli Vassiliki, Papazoglou Lysimachos G, Papaioannou Nikolaos, Psalla Dimitra, Savvas Ioannis, Pavlidis Leonidas, Karayannopoulpou Maria

机构信息

Department of Surgery, Faculty of Veterinary Medicine, University of Thessaly, Karditsa 43100,

出版信息

J Vet Sci. 2015;16(1):99-106. doi: 10.4142/jvs.2015.16.1.99. Epub 2014 Sep 30.


DOI:10.4142/jvs.2015.16.1.99
PMID:25269717
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4367155/
Abstract

Our objective was to evaluate the effectiveness of skin-stretching devices for closing defects on the extremities of dogs. Antebrachial skin defects were created on the limbs of 24 dogs randomly divided into three groups. Skin stretchers included staples and sutures passing through them (group A), sutures and hypodermic needles (group B), and Pavletic device (group C). Wounds on the left were further undermined in all groups. Tension and blood perfusion were assessed. After removing the stretchers on day 3, the defects were sutured and wound healing was clinically scored. Histological variables evaluated were cellular infiltration, edema, collagen orientation, and thickness of epidermis. Significant differences in tension were found among groups (p 0.0005) and between measurement times for undermined (p = 0.001) or non-undermined (p < 0.0005) wounds. In contrast, blood perfusion values did not differ significantly. Clinical scores for group B seemed to be better than those for groups A and C, but differences were not significant. Primary wound closure using the Pavletic device was not feasible. No significant differences in histological variables were found between groups. Skin stretching with staples or hypodermic needles resulted in successful wound management with minor side effects on skin histology and circulation.

摘要

我们的目的是评估皮肤拉伸装置对闭合犬类肢体缺损的有效性。在随机分为三组的24只犬的肢体上制造前臂皮肤缺损。皮肤拉伸器包括穿过它们的吻合钉和缝线(A组)、缝线和皮下注射针(B组)以及帕夫莱蒂克装置(C组)。所有组左侧的伤口均进一步潜行分离。评估张力和血液灌注情况。在第3天移除拉伸器后,对缺损进行缝合,并对伤口愈合情况进行临床评分。评估的组织学变量包括细胞浸润、水肿、胶原纤维排列方向以及表皮厚度。各组之间以及潜行分离伤口(p = 0.001)或未潜行分离伤口(p < 0.0005)的测量时间之间在张力方面存在显著差异。相比之下,血液灌注值无显著差异。B组的临床评分似乎优于A组和C组,但差异不显著。使用帕夫莱蒂克装置进行一期伤口闭合不可行。各组之间在组织学变量方面未发现显著差异。使用吻合钉或皮下注射针进行皮肤拉伸可成功处理伤口,对皮肤组织学和循环的副作用较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/8ce39c73c480/jvs-16-99-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/5ef8143a9ed3/jvs-16-99-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/effc6891e002/jvs-16-99-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/af9c2fed0b3b/jvs-16-99-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/1f67a2b8e41b/jvs-16-99-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/8b60a43a8cf3/jvs-16-99-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/8ce39c73c480/jvs-16-99-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/5ef8143a9ed3/jvs-16-99-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/effc6891e002/jvs-16-99-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/af9c2fed0b3b/jvs-16-99-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/1f67a2b8e41b/jvs-16-99-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/8b60a43a8cf3/jvs-16-99-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390d/4367155/8ce39c73c480/jvs-16-99-g006.jpg

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Comparison of three skin-stretching devices for closing skin defects on the limbs of dogs.

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