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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Double combined Z-plasty for wide-scar contracture release
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Double combined Z-plasty for wide-scar contracture release

机译：双重组合Z成形术可广泛去除疤痕

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摘要

Z-plasty is one of the most widely employed techniques in plastic surgery and mainly serves the following purposes: elongation along the axis of the scar, dispersal of the scar followed by breaking up the straight-line scar and realigning the scar within the lines of minimal tension. It is useful especially to release linear-scar contracture, yet difficult for wide scars. This report describes a novel technique to release contracture effectively for any wide scars using a new design called double combined Z-plasty. The design is simple. The main limb is set to incise the wide scar, and this main limb is shared as a peripheral limb by two other Z-plasty designs. From the main limb, each central limb is designed along the margin of the scar in the opposite direction. The main and central limbs have 90° between them. Other peripheral limbs are then designed facing laterally to the intact skin to make 60° for the central limb. After skin incision, two triangular intact skin flaps could be inserted into the wide scar from both sides, making it possible to release contracture. We performed this technique on eight patients. All wounds healed well and scar contracture was satisfactorily released. This procedure is very useful for wide-scar contracture, compared to conventional Z-plasty.
机译：Z-整形术是整形外科中使用最广泛的技术之一，主要用于以下目的：沿疤痕轴伸长，分散疤痕，然后将直线疤痕破碎并在最小的张力。它特别适用于释放线性疤痕挛缩，但对于宽疤痕却很难。该报告介绍了一种新技术，该技术使用称为双重组合Z型成形术的新设计有效地释放所有宽疤痕的挛缩。设计很简单。主要肢体将切开宽阔的疤痕，另外两个Z-plasty设计将该主要肢体作为周围肢体共享。从主要肢体开始，每个中央肢体沿相反方向沿着疤痕边缘设计。主肢和中肢之间的夹角为90°。然后将其他外围肢体设计为面向完整皮肤横向，以使中央肢体成60°。切开皮肤后，可从两侧将两个完整的三角形皮瓣插入宽阔的疤痕中，以释放挛缩。我们对八名患者进行了这项技术。所有伤口均愈合良好，疤痕挛缩令人满意。与传统的Z型成形术相比，该手术对广泛的瘢痕挛缩非常有用。

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