Zhu Zhenhong,Yin Wei,Ma Zhourui,et al.Early removal of necrotic skin plus with artificial dermal and skin grafts for cutaneous necrotic contusion in children’s hands[J].Journal of Clinical Pediatric Surgery,,18():964-967.[doi:10.3969/j.issn.1671—6353.2019.11.013]
Early removal of necrotic skin plus with artificial dermal and skin grafts for cutaneous necrotic contusion in children’s hands
- CLC:
- R622+.1;R322.99+1;R641
- Abstract:
- Objective To explore early removal of full-thickness necrotic skin of children’s hands after contusion,use artificial dermis for promoting the growth of wound granulation tissue and create conditions for early skin grafting.Methods From February 2016 to August 2018,26 children of full-thickness dermal necrosis caused by hand contusion.Necrotic skin was removed under anesthesia at a median time of 16.2(2-72) hours after injury and the wound covered with artificial skin graft.Fully thickened skin was grafted after 7-10 days.Rehabilitation training was performed and followed by evaluations of hand function.Results Early removal of necrotic skin combined with artificial dermis for cutaneous necrotic contusion in children’s hands,the treatment process was compact with a high survival rate of skin graft.The outcomes were survival of transplanted skin (n=15) and skin necrosis in skin graft area (n=11).The median follow-up period was 10.5(3-15) months.Based upon to the finger movement function standard of American Hand Surgery Association,the fine rate of total active motion (TAM) was up to 88.1%.Conclusion Early removal of necrotic skin plus with artificial dermis for cutaneous necrotic contusion in hands can shorten the healing time,improve the survival rate of free skin graft and ensure the effect of hand wound repair and hand function in children.It is worthy of wider application.
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Memo
收稿日期:2019-02-03。
基金项目:苏州市科技发展计划项目（编号：SYSD2019118）
通讯作者:殷炜,Email:24587948@qq.com