Lineaweaver W, Clapson B, Alpert B, Buncke H J
Microsurgical Replantation Transplantation Department, Davies Medical Center, San Francisco, CA 94114.
Ann Plast Surg. 1988 Aug;21(2):124-6. doi: 10.1097/00000637-198808000-00005.
Clinical reports of pedicled muscle flaps and microvascular tissue transfers include two distinctly different strategies for skin grafting. Some authors describe immediate grafting, whereas others recommend a three- to 5-day interval between flap transfer and grafting. No systematic analysis of either strategy has been reported. We reviewed 51 consecutive successful free tissue transfers that involved immediate skin grafting. Ninety-six percent of the grafts survived without complication. Bot muscle and fascial flaps supported skin grafts. Skin grafts survived infected recipient sites, pedicle revisions, partial flap necrosis, and secondary operation. We conclude that immediate skin grafting on free tissue transfers is reliable.
带蒂肌皮瓣和微血管组织移植的临床报告包括两种截然不同的皮肤移植策略。一些作者描述的是即刻移植，而另一些人则建议在皮瓣转移和移植之间间隔3至5天。尚未有对这两种策略的系统分析报告。我们回顾了51例连续成功的游离组织移植病例，这些病例均涉及即刻皮肤移植。96%的移植皮肤存活且无并发症。肌肉瓣和筋膜瓣均能支持皮肤移植。皮肤移植在受区感染、蒂部修整、部分皮瓣坏死及二次手术的情况下仍能存活。我们得出结论，游离组织移植时即刻皮肤移植是可靠的。
