研究动态
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打孔移植物在促进手术损伤和难以愈合伤口愈合方面的有效性。

The effectiveness of punch grafts in promoting the healing of surgical injuries and hard-to-heal wounds.

发表日期:2024 Aug 13
作者: Eva María Gómez-Martín, José María Llamas-Molina, Manuel Eduardo Ruiz-García, Juan Pablo Velasco-Amador, Ricardo Ruiz-Villaverde
来源: DIABETES & METABOLISM

摘要:

打孔移植是一种可以改善和加速难以愈合伤口愈合并减轻相关疼痛的技术。这是一种简单且廉价的程序,可以在检查室中进行。这是一种使用小型分层皮肤移植(STSG)来促进上皮组织生长的技术。据描述,它主要用于治疗静脉、动脉、高血压和糖尿病病因的溃疡。打孔移植也已成功用于术后皮肤外科伤口。本文描述并详细介绍了打孔移植技术的表现,特别强调术后护理和护士在手术中的作用。介绍了一名接受皮肤鳞状细胞癌手术但一期闭合被拒绝的患者的临床病例。在准备好受体区域后,决定将从患者大腿前侧获得的 STSG 放置在适当的位置,以确保最佳的伤口床。患者的疼痛在几天内消退,每周更换敷料,伤口在几周内愈合。
Punch grafting is a technique that can improve and accelerate the healing of hard-to-heal wounds and reduce the associated pain. It is a simple and inexpensive procedure that can be performed in the examination room. It is a technique that uses small split-thickness skin grafts (STSG) to promote the growth of epithelial tissue. It has been described as being used mainly to treat ulcers of venous, arterial, hypertensive and diabetic aetiology. Punch grafting has also been used successfully in postoperative dermatological surgical wounds. This article describes and details the performance of the punch-graft technique, with special emphasis on aftercare and the role of nurses in the procedure. A clinical case is presented of a patient who underwent surgery for cutaneous squamous cell carcinoma and whose primary closure was rejected. It was decided to place the STSGs obtained from the anterior aspect of the patient's thigh after preparation of the recipient area to ensure an optimal wound bed. The patient's pain subsided within a few days, and the wound healed within weeks with weekly dressing changes.