中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2015年
4期
864-866
,共3页
前足%脱套伤%显微手术
前足%脫套傷%顯微手術
전족%탈투상%현미수술
Front foot%Degloving injury%Microsurgery
目的 探讨在显微镜下回植皮肤,修复兔模型前足皮肤脱套伤的应用效果.方法 选择新西兰大白兔48只,通过装置模拟利器切割撕脱、重物挤压前足等场景,造成大白兔前足脱套伤合并胫骨、跖骨、指(趾)骨骨折等,建立大白兔前足皮肤脱套伤的动物模型,成功41只,并采用内固定趾骨或胫骨骨折,在显微镜下修复断裂肌腱,吻合前足断裂的动脉及相应神经,并将背侧皮肤向远侧掀起,通过直接吻合、转位吻合、移植桥接等方法,逐平面的吻合背侧的动静脉,使皮肤复位,至创缘时吻合创缘皮下浅静脉,缝合皮缘,并放置橡皮引流条.术后石膏固定兔模型前足,抗炎抗感染.结果 41只兔模型回植的皮肤全部成活,3只兔模型创缘皮肤部分坏死,经换药创面愈合.术后X线复查,趾骨胫骨骨折对位好.对兔模型随访3～9个月,平均5个月,骨折和皮肤创面愈合良好,前足可正常行走.结论 在显微镜下回植皮肤,修复兔模型的前足皮肤脱套伤,有效恢复了伤足的供血,加速了骨折的愈合,可有效恢复大白兔模型伤是的行走功能.
目的 探討在顯微鏡下迴植皮膚,脩複兔模型前足皮膚脫套傷的應用效果.方法 選擇新西蘭大白兔48隻,通過裝置模擬利器切割撕脫、重物擠壓前足等場景,造成大白兔前足脫套傷閤併脛骨、蹠骨、指(趾)骨骨摺等,建立大白兔前足皮膚脫套傷的動物模型,成功41隻,併採用內固定趾骨或脛骨骨摺,在顯微鏡下脩複斷裂肌腱,吻閤前足斷裂的動脈及相應神經,併將揹側皮膚嚮遠側掀起,通過直接吻閤、轉位吻閤、移植橋接等方法,逐平麵的吻閤揹側的動靜脈,使皮膚複位,至創緣時吻閤創緣皮下淺靜脈,縫閤皮緣,併放置橡皮引流條.術後石膏固定兔模型前足,抗炎抗感染.結果 41隻兔模型迴植的皮膚全部成活,3隻兔模型創緣皮膚部分壞死,經換藥創麵愈閤.術後X線複查,趾骨脛骨骨摺對位好.對兔模型隨訪3～9箇月,平均5箇月,骨摺和皮膚創麵愈閤良好,前足可正常行走.結論 在顯微鏡下迴植皮膚,脩複兔模型的前足皮膚脫套傷,有效恢複瞭傷足的供血,加速瞭骨摺的愈閤,可有效恢複大白兔模型傷是的行走功能.
목적 탐토재현미경하회식피부,수복토모형전족피부탈투상적응용효과.방법 선택신서란대백토48지,통과장치모의이기절할시탈、중물제압전족등장경,조성대백토전족탈투상합병경골、척골、지(지)골골절등,건립대백토전족피부탈투상적동물모형,성공41지,병채용내고정지골혹경골골절,재현미경하수복단렬기건,문합전족단렬적동맥급상응신경,병장배측피부향원측흔기,통과직접문합、전위문합、이식교접등방법,축평면적문합배측적동정맥,사피부복위,지창연시문합창연피하천정맥,봉합피연,병방치상피인류조.술후석고고정토모형전족,항염항감염.결과 41지토모형회식적피부전부성활,3지토모형창연피부부분배사,경환약창면유합.술후X선복사,지골경골골절대위호.대토모형수방3～9개월,평균5개월,골절화피부창면유합량호,전족가정상행주.결론 재현미경하회식피부,수복토모형적전족피부탈투상,유효회복료상족적공혈,가속료골절적유합,가유효회복대백토모형상시적행주공능.
Objective To investigate the replanting the skin under the microscope,the repair of rabbit model of anterior foot application effect of skin degloving injury.Methods 48 New Zealand rabbits,by means of simulation tool cutting avulsion,crush fore foot scene,resulting in the big white rabbit forefoot degloving injury combined with tibia,metatarsal,finger (toe) bone fracture,the establishment of rabbit animal model of the foot skin degloved injury,41 cases were successful,and the use of internal fixation of tibial fracture phalanx or repair of tendon rupture,under the microscope,the artery anastomosis front foot fractureand corresponding nerve,the dorsal skin and set off to the far side,through the direct anastomosis,anastomosed graft bridging method,such asby plane,arteriovenous anastomosis of dorsal,enable the skin to reset,a margin of time a margin of superficial vein anastomosis suture,skin edge,and placed the rubber drainage.Postoperative plaster fixation of rabbit model of the front foot,anti-inflammatory,anti infection.Results 41 cases of rabbit model of skin replantation survived,3cases of wound edge skin a rabbit model of partial necrosis and healed by dressing.Postoperative X-ray review,phalanxtibial fractures of good.The rabbit models were followed up for 3-9 months,average 5 months,fractureand skin wound healed well,the front foot can walk normally.Conclusion In the microscopenext planting the skin,the foot skin repair of degloving injury of the rabbit model,effectively restore the injured foot blood supply,accelerate the healing of fractures,walking function can effectively restore the injured foot in rabbit model.
