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皮瓣修复下肢慢性创面24例临床体会 预览

Clinical Experience in the Repair Treatment of 24 Cases of Chronic Lower Extremity Wounds via Skin Flap Graft
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摘要 目的探讨皮瓣修复下肢慢性创面的术式选择及临床疗效。方法对2013年1月—2017年3月嘉峪关市酒钢医院烧伤整形科收治的24例下肢慢性创面患者采用皮瓣修复治疗,其中5例患者予以随意型皮瓣修复,3例患者予以膝降动脉隐支皮瓣修复,12例患者予以腓肠神经小隐静脉营养血管皮瓣修复,4例患者予以足底内侧岛状皮瓣修复,观察创面治疗效果。结果 24例患者中创面一期愈合者19例,经术后换药或二次植皮手术愈合者5例。结论术前做好创基准备,并根据创面具体情况合理选择适宜的皮瓣修复下肢慢性创面,可提高皮瓣成活率及创面修复成功率,值得临床推广应用。 Objective To discuss the clinical effect and surgical method of repair of chronic lower extremity wound via skin flap graft.Methods 24 patients with chronic wounds on lower extremities,admitted to Burn and Plastic Surgery,Jiayuguan Jiugang Hospital from January 2013 to March 2017,were treated with skin flap repair.5 patients were treated with random skin flap repair,3 patients were treated with saphenous branch of descending genicular artery flap,12 patients were treated with sural nerve-small saphenous vein nutrient vessels flap and 4 patients were treated with plantar medial flap. Wound treatment results were observed. Results Among 24 patients, 19 got primary healing and 5 were healed after postoperative dressing change or secondary skin grafts. Conclusion Making wound bed preparation and choosing an appropriate skin flap to treat lower extremity wounds based on wound condition can improve the survival rate of skin flap and success rate of wound repair,worthy of being promoted in clinical practice.
作者 齐昭义 杜绪芳 何伟 梁璇 姜萍 Qi Zhaoyi, Du Xufang, He Wei, Liang Xuan, Jiang Ping(Burns and Plastic Surgery Department of Jiugang Hospital, Jiayuguan City, Gansu 735100, China)
出处 《中国烧伤创疡杂志》 2017年第6期419-422,共4页 The Chinese Journal of Burns Wounds & Surface Ulcers
关键词 慢性创面 创基准备 皮瓣 植皮术 疗效 Chronic wound Wound bed preparation Skin flap Skin grafting Clinical effect
作者简介 何伟。E-mail:282427956@qq.com
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  • 1倪东亮,曹杨,陈中.远端蒂腓肠神经营养血管皮瓣静脉回流的解剖与临床对比研究[J].中华显微外科杂志,2007,30(1):55-57. 被引量:46
  • 2蔡锦芳 丁自海 陈中伟.显微足外科学[M].济南:山东科学技术出版社,2002.348-354. 被引量:16
  • 3Masquelet AC, Romana MC, Wolf G. Skin island flaps supplied by the vascular axis of the sensitve superficial nerve: anatomic study and clinical experience in the leg. Plast Reconster Surg, 1992, 89 : 1115-1121. 被引量:1
  • 4Bertelli JA, Khouy Z. Neurocutaneus island flap in the hand : anatomical basis and prelim inary. Br J Plast Surg, 1992,45:86-90. 被引量:1
  • 5徐荣祥.烧伤创疡医学总论(一)[J].中国烧伤创疡杂志,2011,20. 被引量:3
  • 6徐荣祥.烧伤皮肤再生医疗技术临床手册[M].北京:中国医药科技出版社.2000:1l、27. 被引量:4
  • 7Morrison WA, Crabb DM, O'Brien BM, et al. The instep of the foot as a fasciocutaneous island and as a free flap for heel defects [ J ]. Plast Reconstr Surg, 1983,72:56-65. 被引量:1
  • 8Greene TL, Beatty ME. Soft tissue coverage for lower-extremi- ty trauma: current practice and techniques A review [ J ]. J Orthop Trauma, 1988,2 : 158-173. 被引量:1
  • 9Weinzweig N, Davies BW. Foot and ankle reconstruction u- sing the radial forearm flap : a review of 25 cases [ J 1. Plast Reconstr Surg, 1998,102 : 1999-2005. 被引量:1
  • 10Khan U, Smitham P, Pearse M, et al. Management of severe open ankle injuries [ J ]. Plast Reconstr Surg,2007 ,119 :578- 589. 被引量:1

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