中华烧伤杂志
中華燒傷雜誌
중화소상잡지
16
2009年
1期
11-14
,共4页
郑朝%胡大海%徐明达%朱雄翔%韩军涛%董茂龙%陶克%王洪涛%谢松涛%蒋初云%陈璧
鄭朝%鬍大海%徐明達%硃雄翔%韓軍濤%董茂龍%陶剋%王洪濤%謝鬆濤%蔣初雲%陳璧
정조%호대해%서명체%주웅상%한군도%동무룡%도극%왕홍도%사송도%장초운%진벽
创伤和损伤%外科皮瓣%修复外科手术
創傷和損傷%外科皮瓣%脩複外科手術
창상화손상%외과피판%수복외과수술
Wounds and injuries%Surgical flaps%Reconstructive surgical procedures
目的 探讨皮肤软组织深度损伤的治疗方法.方法 2006年7月-2008年1月,笔者单位共收治皮肤软组织深度损伤患者56例,其中火焰烧伤23例、电击伤17例、热压伤7例、撕脱伤6例,其他原因(交通伤、挤压伤、皮肤软组织感染)致伤3例.共应用各类皮瓣65个修复创面,其中局部皮瓣21个、远位带蒂皮瓣18个、游离皮瓣26个,皮瓣面积1.5 cm×1.0 cm～39.0 cm×23.0 cm.结果 60个皮瓣完全成活,3个部分坏死,2个完全坏死.局部皮瓣成活率为95.2%,远位带蒂皮瓣成活率为88.9%,游离皮瓣成活率为92.3%.各类皮瓣成活率比较,差异无统计学意义(P>0.05).结论 皮瓣移植仍然是修复深度皮肤软组织损伤的有效方法,在保证成活率的前提下,采用游离皮瓣进行修复具有一定的优越性.
目的 探討皮膚軟組織深度損傷的治療方法.方法 2006年7月-2008年1月,筆者單位共收治皮膚軟組織深度損傷患者56例,其中火燄燒傷23例、電擊傷17例、熱壓傷7例、撕脫傷6例,其他原因(交通傷、擠壓傷、皮膚軟組織感染)緻傷3例.共應用各類皮瓣65箇脩複創麵,其中跼部皮瓣21箇、遠位帶蒂皮瓣18箇、遊離皮瓣26箇,皮瓣麵積1.5 cm×1.0 cm～39.0 cm×23.0 cm.結果 60箇皮瓣完全成活,3箇部分壞死,2箇完全壞死.跼部皮瓣成活率為95.2%,遠位帶蒂皮瓣成活率為88.9%,遊離皮瓣成活率為92.3%.各類皮瓣成活率比較,差異無統計學意義(P>0.05).結論 皮瓣移植仍然是脩複深度皮膚軟組織損傷的有效方法,在保證成活率的前提下,採用遊離皮瓣進行脩複具有一定的優越性.
목적 탐토피부연조직심도손상적치료방법.방법 2006년7월-2008년1월,필자단위공수치피부연조직심도손상환자56례,기중화염소상23례、전격상17례、열압상7례、시탈상6례,기타원인(교통상、제압상、피부연조직감염)치상3례.공응용각류피판65개수복창면,기중국부피판21개、원위대체피판18개、유리피판26개,피판면적1.5 cm×1.0 cm～39.0 cm×23.0 cm.결과 60개피판완전성활,3개부분배사,2개완전배사.국부피판성활솔위95.2%,원위대체피판성활솔위88.9%,유리피판성활솔위92.3%.각류피판성활솔비교,차이무통계학의의(P>0.05).결론 피판이식잉연시수복심도피부연조직손상적유효방법,재보증성활솔적전제하,채용유리피판진행수복구유일정적우월성.
Objective To explore the methods of repair of massive deep skin and soft tissue inju-ries. Methods Fifty-six patients with deep skin and soft tissue injuries were hospitalized from July 2006 to January 2008. Among them, 23 cases were caused by burn, 17 cases by electric injury, 7 cases by hot crush injury, 6 cases by avulsion injury, and 3 cases due to other reasons (including traffic accident, crush injury, soft tissue infection respectively). Sixty-five skin flaps were raised to repair and reconstruct the in-jured tissues, including 21 local flaps, 18 distant pedicled skin flaps, and 26 free skin flaps. The area of skin flaps ranged from 1.5 cm×1.0 cm to 39.0 cm × 23.0 cm. Results Sixty skin flaps survived com-pletely, partial necrosis occurred in 3 flaps, and complete necrosis in 2 flaps. There was no obvious differ-ence in average survival rate among local skin flaps (95.2%) , distant pedicled skin flaps (88.8%), and free skin flaps (92.3% , P >0.05). Conclusions Skin flap transposition can be still considered as the major effective method in repair of massive deep skin and soft tissue injury. On the premises of high survival rate, free skin flap transposition can be considered as the first choice.
