化脓性汗腺炎腋窝切除术后皮肤移植与肉芽愈合的比较。
A comparison of skin grafting and healing by granulation, following axillary excision for hidradenitis suppurativa.
作者信息
Morgan W P, Harding K G, Hughes L E
出版信息
Ann R Coll Surg Engl. 1983 Jul;65(4):235-6.
Abstract
The treatment of established hidradenitis suppurativa demands complete excision of the apocrine glands in the affected area. Ten patients undergoing bilateral excision of the axillary skin, had one axilla grafted and the other allowed to heal by granulation utilising Silastic foam dressing, in order to compare the two methods. Split skin grafting resulted in more rapid healing of the excised area than healing by secondary intention. However, Silastic foam dressing resulted in certain healing with a good cosmetic result and avoided the need for immobilisation and a painful donor site. Most patients in this series preferred Silastic foam dressing to skin grafting.
摘要
对于已确诊的化脓性汗腺炎，治疗需要彻底切除患区的顶泌汗腺。10例接受双侧腋窝皮肤切除的患者，一侧腋窝进行植皮，另一侧使用硅橡胶泡沫敷料通过肉芽组织愈合，以比较这两种方法。与二期愈合相比，植皮使切除区域愈合更快。然而，硅橡胶泡沫敷料使伤口顺利愈合，美容效果良好，且无需固定，也避免了供皮区疼痛。该系列中的大多数患者更喜欢硅橡胶泡沫敷料而非植皮。
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