CAJ | 학술논문

目的探讨面部深Ⅲ度烧伤创面皮瓣移植类型的选择方法与临床治疗效果.方法 1998年1月至2007年12月应用4种类型皮瓣(共38个)移植修复面部深Ⅲ度烧伤患者32例,其中游离皮瓣2个,轴型皮瓣16个(含岛状皮瓣5个),局部皮瓣18个,皮管转移2个.结果 38个移植皮瓣,除5个皮瓣远端有小面积坏死,经换药愈合,余33个皮瓣完全成活.术后随访5月～3年,移植皮瓣质地柔韧,延展性好,组织挛缩轻,皮肤色泽变化小,外形满意.结论皮瓣血运丰富,有完整的皮下脂肪组织,移植后除了可用以修复皮肤缺损外,可明显改善受区局部组织血液循环,防止感染,最大程度地恢复面部的形态与功能.术中依据创面大小和创周皮肤条件,首选局部皮瓣或轴形皮瓣,局部无条件时行游离皮瓣或皮管移植.
목적 탐토면부심Ⅲ도소상창면피판이식류형적선택방법여림상치료효과.방법 1998년1월지2007년12월응용4충류형피판(공38개)이식수복면부심Ⅲ도소상환자32례,기중유리피판2개,축형피판16개(함도상피판5개),국부피판18개,피관전이2개.결과 38개이식피판,제5개피판원단유소면적배사,경환약유합,여33개피판완전성활.술후수방5월～3년,이식피판질지유인,연전성호,조직련축경,피부색택변화소,외형만의.결론 피판혈운봉부,유완정적피하지방조직,이식후제료가용이수복피부결손외,가명현개선수구국부조직혈액순배,방지감염,최대정도지회복면부적형태여공능.술중의거창면대소화창주피부조건,수선국부피판혹축형피판,국부무조건시행유리피판혹피관이식.
Objective To investigate the choices and the clinical efficacy of different flaps on the repair of deep Ⅲ burn wounds in the facio-cervical region. Methods From January 1998 to December 2007,32 cases of the deep Ⅲ burn wounds in the faces region were repaired with 4 kinds of flaps,including 2 free flaps, 16 pedicle flaps, 18 local flaps, 2 tube flaps.Results Except five cases of the distal small area necrosis healed after treatment, the other 33 flaps all survived.After 5 months to 3 years,the flaps showed texture flexibility,scalability,light contracture of organizations, small changes in skin color,and satisfactory shapes.Conclusions The flaps with sufficient blood circulation and a completely subcutaneous adipose tissue after transplantation not only can be used to repair skin defects and significantly improve the local tissue blood circulation area to prevent infection,but also it is the greatest possibility of the repair of facial appearance and function. In accordance with wound size and surrounding tissues conditions, local flaps or pedicle flaps should be prefered in operation, otherwise free flaps or tube flaps be chosen.