使用皮肤再生模板 (Pelnac) 在急性设置中覆盖暴露的手
Rama Ahmed Ali1, Ahmed Gamal Hemidan2, Hamed Mohamed Kadry1
1From the Faculty of Medicine, Cairo University, Cairo, Egypt.
Plastic and reconstructive surgery. Global open
|March 5, 2024
概括
皮肤替代品Pelnac在急性创伤后有效地覆盖暴露的手,保持功能和美学. 这种两阶段的手术显示了高度的整合和移植成功率,导致了良好的患者结果.
科学领域:
- 重建性手术是一种重建性手术.
- 手部创伤管理管理
- 组织工程是组织工程.
背景情况:
- 肌的软组织覆盖在急性手部创伤中是一个重大挑战.
- 肌覆盖的损失会导致粘附,运动范围的减少和美观不佳.
- 皮肤替代品Pelnac用于暴露肌覆盖,但功能结果需要详细评估.
研究的目的:
- 评估Pelnac在急性手部伤害中覆盖暴露肌的疗效.
- 评估使用Pelnac的两阶段重建手术后的功能和美学结果.
- 确定Pelnac是否适用于维护手部功能并获得可接受的美学效果.
主要方法:
- 在26名患有急性隔离肌损伤的患者中,采用了两阶段的重建方法.
- 第一个阶段涉及Pelnac用于肌覆盖的应用.
- 第二阶段,Pelnac后的整合,包括分厚的皮肤移植;功能结果通过运动范围和QuickDASH得分来衡量,而美学则通过温哥华痕量表来衡量.
主要成果:
- 佩尔纳克证明了100%的整合,在26名患者中有22名患者的移植成功.
- 平均QuickDASH得分为20.5±15.7,表明中度功能障碍.
- 在22名患者中恢复了全部的运动范围,温哥华痕尺度平均得分为3.53±3.2,表明可接受的美学结果.
结论:
- 在急性情况下,对暴露的手进行Pelnac应用是一种实用且有效的程序.
- 它为肌覆盖提供了一个可行的选择,患病率最小.
- 佩尔纳克的使用可以使手部功能保持和令人满意的美学结果.
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