游离皮瓣与带蒂皮瓣修复下肢创面的对比研究

A comparative study of free and pedicle flaps for lower extremity wounds.

作者信息

Zook E G, Russell R C, Asaadi M

机构信息

Division of Plastic Surgery, Southern Illinois University School of Medicine, Springfield 62708.

出版信息

Ann Plast Surg. 1986 Jul;17(1):21-33. doi: 10.1097/00000637-198607000-00006.

DOI:10.1097/00000637-198607000-00006

PMID:3273073

Abstract

Sixty-four flaps were used to treat wounds in 58 patients over a 5-year period. In this series there was a high incidence of healing of both tibial fractures and chronic osteomyelitis when covered with muscle. Better contour is achieved with muscle covered with meshed skin grafts than with musculocutaneous flaps. The survival rate for free flaps was 93% and for pedicle flaps, 100%. Complication rates were higher for pedicle flaps (45%) than for free flaps (30%), although major complications for free flaps (14%) were higher than for pedicled flaps (9%).

摘要

在5年期间，64个皮瓣用于治疗58例患者的伤口。在本系列中，当用肌肉覆盖时，胫骨骨折和慢性骨髓炎的愈合率都很高。用网状皮片覆盖的肌肉比肌皮瓣能获得更好的外形。游离皮瓣的存活率为93%，带蒂皮瓣为100%。带蒂皮瓣的并发症发生率（45%）高于游离皮瓣（30%），尽管游离皮瓣的严重并发症（14%）高于带蒂皮瓣（9%）。