[应用皮瓣修复前臂大面积组织缺损]
[The repair of bulky tissue defect of forearm with skin flaps].
作者信息
Huang Xiaoyuan, Long Jianhong, Xie Tinghong, Zhang Minghua, Zhang Pihong, Yang Xinghua, Zhong Keqin
机构信息
Department of Burns and Plastic Surgery, Xiang Ya Hospital, Zhong Nan University, Changsha 410008 P.R. China.
出版信息
Zhonghua Shao Shang Za Zhi. 2002 Dec;18(6):334-5.
OBJECTIVE
To evaluate the repairing methods of bulky tissue defect of forearm with flaps.
METHODS
Twenty-one burned patients with wounds in the forearm were enrolled in this study. The injury causes were high-voltage electricity, hot press or crush injury. After local debridement, the forearm defects were repaired with pedicled complex flaps, latissimus dorsi musculocutaneous island flaps or large thoraco-abdominal flaps immediately.
RESULTS
All the flaps survived very well with satisfactory results except for 1 patient in whom local ischemic necrosis and sub-flap infection at the distal end of the flap occurred.
CONCLUSION
Early debridement followed by skin flaps with pedicles or musculocutaneous flaps transfer could be simple, safe and reliable treatment strategies in the management of bulky tissue defects of the forearm due to burn, electric injury, or other devastating injuries.
目的
评估应用皮瓣修复前臂大面积组织缺损的方法。
方法
本研究纳入21例前臂有创面的烧伤患者。致伤原因包括高压电、热压伤或挤压伤。局部清创后，立即采用带蒂复合皮瓣、背阔肌肌皮岛状皮瓣或大网膜胸腹联合皮瓣修复前臂缺损。
结果
除1例患者皮瓣远端出现局部缺血坏死及皮瓣下感染外，其余皮瓣均存活良好，效果满意。
结论
对于因烧伤、电损伤或其他严重损伤导致的前臂大面积组织缺损，早期清创后行带蒂皮瓣或肌皮瓣转移是简单、安全且可靠的治疗策略。
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