尹兆会 孙晓晨

    [摘要]目的：探讨鼓式取皮法切取大张次全厚皮片修复皮肤软组织缺损及薄断层皮片修复供区的效果。方法：2019年12月-2020年12月，采用鼓式取皮法切取大张次全厚皮片修复瘢痕及皮肤肿瘤切除后皮肤软组织缺损，同时在供区相邻部位切取薄断层皮片修复次全厚皮供皮区。次全厚皮片修复面积为70～200 cm2。结果：鼓式取皮法切取大张次全厚皮片、薄断层皮片快速、简便。本组10例患者除1例有小面积皮片下血肿(经换药后愈合)，其余均成活理想。术后1～12个月随访，次全厚移植皮片平整，无明显挛缩畸形，皮片弹性良好，质地柔软，色素沉着较轻;次全厚皮片供区及薄断层皮片供区无明显瘢痕增生。结论：鼓式取皮法切取大张次全厚皮片，且供皮区以薄断层皮片修复方法快速、简便;而且受区移植皮片成活质量好，远期效果佳，供皮区愈合良好，无明显瘢痕增生，是皮片移植术兼顾受区及供区的一种好方法。

    [关键词]次全厚皮片;鼓式取皮法;皮肤软组织缺损;创面修复;供区修复;鲜红斑痣;瘢痕

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2022)06-0052-03

    Effects of Repairing Skin and Soft Tissue Defects with Large Sub-full-thickness Skin Grafts Cut by Drum Peeling Method

    YIN Zhaohui1，SUN Xiaochen2

    (1.Department of Emergency; 2.Department of Burn and Plastic Surgery，the 940th Hospital of the Joint Logistics Support Force of Chinese People’s Liberation Army，Lanzhou 730000，Gansu，China)

    Abstract： Objective? To explore the effects of repairing skin and soft tissue defects with large sub-full-thickness skin grafts cut by drum peeling method and repairing the donor sites with thin fault skin grafts. Methods? From December 2019 to December 2020 ......