Platt A J, McKiernan M V, McLean N R
Newcastle General Hospital, Newcastle upon Tyne, UK.
Burns. 1996 Sep;22(6):474-6. doi: 10.1016/0305-4179(96)00012-5.
Although the majority of burn wounds undergoing surgical treatment require only excision with split-skin grafting, the introduction of free microvascular tissue transfer has allowed for the preservation of otherwise unsalvageable deep burn injuries and the resurfacing of burn scars in areas with no available local tissue. A total of 1699 patients with burn injuries were admitted to the Burns Unit in Newcastle upon Tyne in the 5 years 1989-1993. During this period 604 patients (35.5 per cent) required surgical treatment of their burns. Of these patients 582 (96.4 per cent) underwent excision of their burns with split-skin grafting, 13 (2.1 per cent) of the patients required local flap cover and nine patients (1.5 per cent) had free tissue transfer. Free flap loss in this study was 22 per cent in burns patients as compared to only 3 per cent in patients undergoing microsurgical reconstruction for other reasons.
尽管大多数接受手术治疗的烧伤创面仅需进行切除并植皮，但游离微血管组织移植技术的引入，使得原本无法挽救的深度烧伤得以保全，且在局部组织无法利用的区域实现了烧伤瘢痕的创面修复。1989年至1993年的5年间，共有1699例烧伤患者入住泰恩河畔纽卡斯尔的烧伤科。在此期间，604例患者（35.5%）需要接受烧伤手术治疗。其中，582例患者（96.4%）接受了烧伤切除并植皮手术，13例患者（2.1%）需要局部皮瓣覆盖，9例患者（1.5%）接受了游离组织移植。本研究中，烧伤患者的游离皮瓣丢失率为22%，而因其他原因接受显微外科重建的患者这一比例仅为3%。
