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Ann Burns Fire Disasters. 2016 Jun 30;29(2):135-138.
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本文引用的文献

1
Limb salvage after vascular reconstruction followed by tissue transfer during the Global War on Terror.在反恐全球战争期间，血管重建后行组织移植进行肢体挽救。
J Vasc Surg. 2015 Mar;61(3):734-40. doi: 10.1016/j.jvs.2014.10.039. Epub 2014 Dec 9.
2
Reconstruction of transhumeral amputation stumps with ipsilateral pedicled latissimus dorsi myocutaneous flap in high voltage electrical burns.高压电烧伤中应用同侧带蒂背阔肌肌皮瓣修复肱骨干截肢残端
Burns. 2015 Mar;41(2):401-7. doi: 10.1016/j.burns.2014.07.011. Epub 2014 Oct 14.
3
Achilles tendon repair, a modified technique.跟腱修复术，一种改良技术。
Arch Bone Jt Surg. 2013 Dec;1(2):86-9. Epub 2013 Dec 15.
4
Technique for using pedicled latissimus dorsi muscle flaps to wrap prosthetic grafts in an infected thoracic aorta.使用带蒂背阔肌肌瓣包裹感染性胸主动脉人工血管移植物的技术
Ann Vasc Surg. 2013 Nov;27(8):1223-7. doi: 10.1016/j.avsg.2013.04.009. Epub 2013 Sep 5.
5
Delayed rupture of a pseudoaneurysm in the brachial artery of a burn reconstruction patient.烧伤重建患者肱动脉假性动脉瘤破裂延迟。
World J Emerg Surg. 2013 Jun 13;8(1):21. doi: 10.1186/1749-7922-8-21.
6
Flow-through anterolateral thigh flap for reconstruction in electrical burns of the severely damaged upper extremity.经前外侧股流动皮瓣在严重上肢电烧伤修复中的应用。
Burns. 2013 May;39(3):515-21. doi: 10.1016/j.burns.2012.08.007. Epub 2012 Sep 20.
7
Alterations in arterial function after high-voltage electrical injury.高压电损伤后动脉功能的改变。
Crit Care. 2012 Feb 12;16(1):R25. doi: 10.1186/cc11190.
8
Electrical burns.电烧伤
Ann Burns Fire Disasters. 2007 Mar 31;20(1):44-5.
9
[Early treatment of high-voltage electric burn wound in the limbs].[四肢高压电烧伤创面的早期治疗]
Zhonghua Shao Shang Za Zhi. 2011 Jun;27(3):173-7.
10
The pedicled serratus anterior muscle wrap-around flap: A treatment option in the management of posttraumatic axillary neuroma and neuropathic pain.
Ann Plast Surg. 2010 Aug;65(2):170-3. doi: 10.1097/SAP.0b013e3181c5a81e.

背阔肌肌瓣包裹保护肱动脉在高压电损伤中的应用

Brachial artery protected by wrapped latissimus dorsi muscle flap in high voltage electrical injury.

作者信息

Gencel E, Eser C, Kokacya O, Kesiktas E, Yavuz M

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Cukurova University Medical School, Adana, Turkey.

出版信息

Ann Burns Fire Disasters. 2016 Jun 30;29(2):135-138.

PMID:28149236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5286988/
Abstract

High voltage electrical injury can disrupt the vascular system and lead to extremity amputations. It is important to protect main vessels from progressive burn necrosis in order to salvage a limb. The brachial artery should be totally isolated from the burned area by a muscle flap to prevent vessel disruption. In this study, we report the use of a wrap-around latissimus dorsi muscle flap to protect a skeletonized brachial artery in a high voltage electrical injury in order to salvage the upper extremity and restore function. The flap wrapped around the exposed brachial artery segment and luminal status of the artery was assessed using magnetic resonance angiography. No vascular intervention was required. The flap survived completely with good elbow function. Extremity amputation was not encountered. This method using a latissimus dorsi flap allows the surgeon to protect the main upper extremity artery and reconstruct arm defects, which contributes to restoring arm function in high voltage electrical injury.

摘要

高压电损伤可破坏血管系统并导致肢体截肢。为挽救肢体，保护主要血管免受渐进性烧伤坏死至关重要。应通过肌瓣将肱动脉与烧伤区域完全隔离，以防止血管破裂。在本研究中，我们报告了使用背阔肌包裹肌瓣来保护高压电损伤中已骨骼化的肱动脉，以挽救上肢并恢复功能。该肌瓣包裹暴露的肱动脉段，并使用磁共振血管造影评估动脉的管腔状况。无需进行血管干预。肌瓣完全存活，肘部功能良好。未出现肢体截肢情况。这种使用背阔肌瓣的方法使外科医生能够保护上肢主要动脉并重建手臂缺损，有助于恢复高压电损伤后的手臂功能。