發(fā)布時(shí)間：2018-03-01 14:23

  本文關(guān)鍵詞： 腹部帶蒂皮瓣 穿支皮瓣 改良縫合 創(chuàng)面修復(fù) 上肢　出處：《中國(guó)修復(fù)重建外科雜志》2017年09期 　論文類(lèi)型：期刊論文

【摘要】：目的探討腹部帶蒂皮瓣寬蒂部設(shè)計(jì)以及改良縫合方法修復(fù)上肢大面積皮膚缺損的可行性及療效。方法 2014年3月—2016年8月,采用腹部帶蒂皮瓣修復(fù)11例手部及前臂皮膚軟組織缺損。男8例,女3例;年齡18~65歲,平均38歲。致傷原因:機(jī)器絞傷7例,交通事故傷4例。左上肢6例,右上肢5例。皮膚軟組織缺損范圍12 cm×7 cm~20 cm×10 cm。受傷至手術(shù)時(shí)間2~5 d,平均4 d。采用下腹部皮瓣修復(fù)4例,臍旁皮瓣修復(fù)7例。皮瓣切取范圍10 cm×9 cm~22 cm×10 cm;皮瓣采用寬蒂部設(shè)計(jì),蒂部寬8~18 cm,平均15 cm;蒂部行改良縫合。術(shù)后3周斷蒂。結(jié)果術(shù)后皮瓣均成活,無(wú)淤血、壞死及張力性水皰發(fā)生;創(chuàng)面均Ⅰ期愈合。供區(qū)切口均Ⅰ期愈合。隨訪(fǎng)時(shí)間4~12個(gè)月,平均8個(gè)月。皮瓣色澤、質(zhì)地、外形良好,皮瓣及供區(qū)均無(wú)潰瘍形成。供區(qū)僅遺留線(xiàn)狀瘢痕。結(jié)論腹部帶蒂皮瓣進(jìn)行寬蒂部設(shè)計(jì)并改良縫合,可減少腹部皮膚組織浪費(fèi),避免術(shù)后感染,且手術(shù)操作簡(jiǎn)便,固定牢靠,修復(fù)上肢大面積皮膚缺損可行。
[Abstract]:Objective to investigate the feasibility and curative effect of wide pedicle design of abdominal pedicle flap and modified suture method for repairing large area skin defect of upper limb. Methods from March 2014 to August 2016, Skin and soft tissue defects of hand and forearm were repaired with abdominal pedicled flap in 11 cases. Male 8 cases, female 3 cases, age 1865 years old, mean 38 years old. The causes of injury were: machine wound in 7 cases, traffic accident in 4 cases, left upper limb in 6 cases, left upper limb in 6 cases. There were 5 cases of right upper extremity. The area of skin soft tissue defect was 12 cm 脳 7 cm~20 cm 脳 10 cm. The average time from injury to operation was 2 days, 4 cases were repaired with lower abdominal flap and 7 cases with paracomphal flap. The area of skin flap was 10 cm 脳 9 cm~22 脳 10 cm, and the flap was designed with wide pedicle. The pedicle width was 8 ~ 18 cm (mean 15 cm). The pedicle was sutured with modified suture. The pedicle was broken 3 weeks after operation. Results the flap survived without congestion, necrosis and tension blisters, the wound healed in stage 鈪，

本文編號(hào)：1552321