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[保留真皮下血管网的“超薄”皮瓣血液循环及其临床应用]

[Blood circulation of the "super-thin" skin flap with preserved subdermal vascular network and its clinical application].

作者信息

Sun Y H

机构信息

Beijing Ji Shuitan Hospital.

出版信息

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Mar;7(1):8-10, 73.

PMID:2032186
Abstract

For the study of the blood circulation of the superthin skin flap, arterial perfusion of Chinese black ink was performed in 24 cadavers. From 1984 to 1990, "super-thin" skin flap transplantations have been done in 18 patients with deep injuries as a result of electric contact burn, wringer injuries, or chemical burns. The flap taken from thoracic, abdominal, or upper arm regions was trimmed before transfer, and 2 mm thickness of fat was left attached to the subdermal vascular network. The largest super-thin skin flap of the inguinal region was 7 cm in breadth at the pedicle, 15 cm in length and 20 cm in width at the distal part. All of these flaps survived after transfer. Division of the pedicles was performed 3-5 days postoperatively. The cosmetic and functional results were all satisfactory.

摘要

为研究超薄皮瓣的血液循环,对24具尸体进行了中国黑墨水动脉灌注。1984年至1990年,对18例因电接触烧伤、绞拧伤或化学烧伤导致深度损伤的患者进行了“超薄”皮瓣移植。取自胸部、腹部或上臂区域的皮瓣在转移前进行修剪,保留2毫米厚的脂肪附着于皮下血管网。腹股沟区最大的超薄皮瓣蒂部宽7厘米,长15厘米,远端宽20厘米。所有这些皮瓣转移后均存活。术后3 - 5天进行蒂部切断。美容和功能效果均令人满意。

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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Mar;7(1):8-10, 73.
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