Yang J Y, Noordhoff M S
Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1993 Apr;91(5):819-25; discussion 826-7.
The adipofascial flap is a useful method for treating deep electrical burn wounds requiring early definitive wound closure to preserve vital structures and function. In the past 2 years, 14 deep electrical burns of the upper extremities involving exposure of tendon, nerve, bone, or blood vessels requiring immediate vessel reconstruction were covered with an adipofascial flap. The latter was a local random turnover flap of the fascia and its overlying subcutaneous fat. All flaps were successfully elevated and applied to severe wounds in order to preserve underlying structures. There were no serious complications. Tendon gliding under the flap was found to be excellent during second reconstructive surgical procedures. The reconstructed limbs had satisfactory preservation of function.
脂肪筋膜瓣是治疗深部电烧伤创面的一种有效方法，对于需要早期确定性创面闭合以保护重要结构和功能的情况尤为适用。在过去两年中，14例上肢深部电烧伤，伴有肌腱、神经、骨骼或血管外露且需要立即进行血管重建的患者，采用脂肪筋膜瓣进行覆盖。脂肪筋膜瓣是一种包含筋膜及其上方皮下脂肪的局部随意翻转皮瓣。所有皮瓣均成功掀起并应用于严重创面，以保护深部结构。未出现严重并发症。在二期重建手术中发现，皮瓣下的肌腱滑动良好。重建后的肢体功能保存良好。
