ï»?!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 皮肤移æ¤æœ?/title> <meta name="keywords" content="手术,皮肤移æ¤æœ?移æ¤æœ? /> <meta name="description" content="" /> <link href="http://images.whrenai.com/news_images/new_css.css" rel="stylesheet" type="text/css"> <SCRIPT src="http://images.whrenai.com/by_images/showFlash.js"></SCRIPT> <script type="text/javascript" language="javascript" src="http://images.whrenai.com/js/copy.js "></script> <SCRIPT src="http://images.whrenai.com/by_images/showFlash.js"></SCRIPT> <script language="javascript" src="http://images.whrenai.com/zx.js"></script> <script language='javascript' src='/js/Page.js'></script> <script language='javascript' src='/js/Xmlhttp.js'></script> <script language='javascript' src='/common/InfoViewCount.aspx?ModelId=1&&Id=70727'></script> </head> <body> <!--LOGO--> <div class=z1> <div class=logo><img src="http://images.whrenai.com/tongyong/images/logo.gif" 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<!--time end--> <div class=key>关键è¯ï¼š<a href='/List.aspx?chid=18&Keyword=%e6%89%8b%e6%9c%af&FieldName=tagnamestr' target='_blank'>手术</a></div> <!--key end--> <div class=daodu></div> <!--ad end--> <div class=geyan><label><span>å¥åº·è°šè¯­</span></label></div> <!--geyan end--> <div class=concent fang=08-03-07 17:05:07> <br> <p>皮肤移æ¤æœ?/p><p>鼻整形手术以组织移æ¤ä¸ºä¸»è¦æ‰‹æœ¯æ–¹æ³•ï¼Œåœ¨æ‰‹æœ¯æ“作方é¢é™¤ä¸€èˆ¬å¤–科基础外，尚需对组织移æ¤æ–¹æ³•æœ‰è¾ƒç†Ÿç»ƒçš„认识。今将两ç§ä¸»è¦çš„皮肤移æ¤æ–¹æ³•ï¼Œçš®ç‰‡ç§»æ¤æœ¯å’Œçš®ç“£ç§»æ¤æœ¯æ‰¼è¦ä»‹ç»å¦‚下ã€?/p> <img border="0" src="../../Files/Shoushu/20081271441204677801.jpg" > å›? 手法å–çš® <img border="0" src="../../Files/Shoushu/200812714412070377802.jpg" > å›? 切皮æœ? <img border="0" src="../../Files/Shoushu/200812714412075077803.jpg" > å›? 切皮机å–çš? <img border="0" src="../../Files/Shoushu/200812714412079677804.jpg" > å›? å½¢æˆçš®ç®¡ <p>一ã€çš®ç‰‡ç§»æ¤æœ¯</p><p>皮片移æ¤æœ¯ä¾åŽšåº¦ä¸åŒåˆ†ä¸ºè–„（表层或刃厚皮片）ã€ä¸­ï¼ˆæ–­å±‚或中厚皮片）ã€åŽšï¼ˆå…¨å±‚或全厚皮片）三类，其中以断层皮片较常采用。皮片切å–有以下两ç§æ–¹æ³•ï¼?/p><p>1.手法å–çš® 需用刀刃长ã€è–„而锋利的切皮刀一把，木æ¿ä¸¤å—。å–皮时，供皮区皮é¢ä¿æŒå¹³å¦å’Œç´§å¼ ã€‚术者å³æ‰‹æŒåˆ€ï¼Œå·¦æ‰‹æ‹¿æœ¨æ¿åŽ‹åœ¨ä¾›çš®åŒºä¸Šï¼Œå¦ä¸€åŠ©æ‰‹ä»¥æœ¨æ¿æœç›¸åæ–¹å‘牵张皮肤，并æ¡ç´§ä¾›çš®åŒºå¯¹ä¾§çš„皮肤。然åŽç”¨åˆ€åˆ‡å…¥çš®å±‚，往往返拉锯动作，å³å¯å°†æ‰€éœ€çš®ç‰‡åˆ‡ä¸‹ã€‚皮片的厚度视刀刃与皮é¢é—´çš„角度而定，角度愈大则皮片愈厚（图1）ã€?/p><p>2.机械å–çš® 用切皮机（图2）å–皮较为平整，厚度å‡åŒ€ï¼Œè¾¹ç¼˜æ•´é½ã€‚皮片厚度以1‰时为å•ä½ï¼ˆæ³¨ï¼šä¸ºé€‚于临床æ“作而ä¿ç•™æœ¬å•ä½ï¼‰ï¼Œåˆ‡çš®æœºä¸Šçš„刻度盘1格为5‰时。一般表皮皮片为8â€?10‰时，薄的中厚度ç‰?2â€?20‰时，厚的中厚皮ç‰?2â€?30‰时。切片时先在鼓é¢å’Œçš®é¢ä¸Šæ¶‚胶水以粘ä½çš®è‚¤ï¼Œå…¶èŒƒå›´è§†æ‰€éœ€çš®ç‰‡çš„大å°è€Œå®šã€‚术者左手æ¡æœºæŸ„，å³æ‰‹æŒåˆ€æž¶ï¼Œå°†é¼“é¢å‰ç¼˜å…ˆä¸Žä¾›çš®åŒºæŽ¥è§¦ï¼Œè½»åŽ‹åŽå†å‘上翻转，此时皮肤被粘起æˆçš±è¥žçŠ¶ï¼Œå°†åˆ€åˆ‡å…¥çš®å±‚，并将鼓é¢ä¸æ–­å‘上翻起，拉动刀架，å³å¯åˆ‡å‰²è‡³æ‰€éœ€å¤§å°çš„é¢ç§¯ï¼ˆå›?）ã€?/p><p>二ã€çš®ç“£ç§»æ¤æœ¯</p><p>带蒂移æ¤çš„皮肤称为皮瓣，手术过程包括形æˆã€ç§»è½¬å’Œæ–­è’‚三个步骤，历时既长，åˆè¾ƒçš®ç‰‡ç§»æ¤å¤æ‚。皮瓣主è¦åˆ†æ‰å¹³çš®ç“£å’Œçš®ç®¡ä¸¤ç±»ã€?/p><p>1.æ‰å¹³çš®ç“£ 常用于鼻部缺æŸçš„ä¿®å¤ã€‚大部应用邻近的é¢éƒ¨çš®ç“£ï¼Œä¿®å¤åŽçš„厚度和色泽与缺æŸåŒºç›¸è¿‘，效果较好ã€?/p><p>2.皮管 在预定供皮部ä½ï¼Œä½œé•¿è½´ä¸Žä¸»è¦è¡€ç®¡èµ°å‘一致的两æ¡å¹³è¡Œåˆ‡å£ï¼Œç”±ä¸€ä¾§åˆ‡å£å‘对侧贴近筋膜表é¢å‰¥ç¦»ï¼Œç›´è‡³å¯¹ä¾§åˆ‡å£ï¼Œå½¢æˆä¸€çš®è‚¤æ¡å¸¦ã€‚严密止血，ç¼åˆ¶æˆçš®ç®¡ï¼ˆå›¾4）。供皮区的创缘广泛游离，å‡å°‘伤å£å¼ åŠ›åŽç¼åˆã€‚皮管的长度与宽度之比ä¸å®œè¶…è¿?.5ï½?âˆ?，å¦åˆ™ä¸æ˜“存活。皮管形æˆåŽè¦æ³¨æ„è¡€è¿æƒ…况，勿使蒂部扭转，以å…引起å死。皮管形æˆ?ï½?周åŽï¼Œç»è¿‡ç§»è½¬ï¼Œå†ç»3ï½?周åŽï¼Œåˆ‡æ–­è’‚部。断蒂å‰ç”¨ç»†æ©¡çš®ç­‹æŸäºŽè’‚部作夹压训练，暂时阻断血è¿ï¼Œé˜²æ­¢å› è¡€è¿çªç„¶å‡å°‘而影å“存活ã€?/p><p>移æ¤æœ¯åŽè¦ä¸¥å¯†è§‚察，检查有无血è¿éšœç¢ã€ç»§å‘出血或炎症感染等现象。以上三者是移æ¤æœ¯å¤±è´¥ä¹‹ä¸»è¦åŽŸå› ï¼Œå› æ­¤ï¼Œæœ¯å‰éœ€ç²¾ç¥žè®¾è®¡ï¼Œæ³¨æ„供皮区的主è¦è¡€ç®¡èµ°å‘，使能建立有利的血液循环，术中æ“作è¦è½»æŸ”，é¿å…创伤过é‡ï¼Œå¹¶ä¸”è¦å¦¥å–„止血，严密ç¼åˆï¼Œä¸ç•™é—´éš™ï¼Œä½¿æ—¢æœ‰åˆ©äºŽå›ºå®šï¼Œåˆèƒ½é˜²æ­¢æ¸—血，ä¸è‡´å½¢æˆè¡€è‚¿æ‹›è‡´æ„ŸæŸ“。这是移æ¤æœ¯æˆåŠŸä¸Žå¦å’Œé˜²æ­¢å¹¶å‘症的关键，宜多加注æ„ã€?/p> </div> <!--concent end--> <div class=next> <p><a href="http://www.whrenai.com/ssdq/yzs/70726.html">心è„移æ¤æœ?/a></p> <p><a href="http://www.whrenai.com/ssdq/yzs/70728.html">角膜移æ¤æœ?/a></p> </div> <!--next end--> <div class=fanhui><a 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