CAJ | 학술논문

目的研究皮瓣或肌皮瓣修复上肢严重复合组织损伤的效果. 方法研究对象来自于该院2011年6月—2014年6年收治的86例上肢严重复合组织损伤患者,全体患者均给予皮瓣或肌皮瓣修复治疗. 统计全体患者受伤部位、供区部位以及修复方式, 观察受损部位皮瓣存活、愈合情况. 结果 74例患者移植皮瓣顺利存活,12例皮瓣边缘坏死, 治疗总有效率86.0%. 术后随访6~12个月,损伤部位皮瓣生长良好,功能正常,无明显畸形. 结论皮瓣或肌皮瓣修复上肢严重复合组织损伤效果理想,适合于临床推广.
목적 연구피판혹기피판수복상지엄중복합조직손상적효과. 방법 연구대상래자우해원2011년6월—2014년6년수치적86례상지엄중복합조직손상환자,전체환자균급여피판혹기피판수복치료. 통계전체환자수상부위、공구부위이급수복방식, 관찰수손부위피판존활、 유합정황. 결과 74례환자이식피판순리존활,12례피판변연배사, 치료총유효솔86.0%. 술후수방6~12개월,손상부위피판생장량호,공능정상,무명현기형. 결론 피판혹기피판수복상지엄중복합조직손상효과이상,괄합우림상추엄.
Objective To study the effect of skin flaps or myocutaneous skin flaps on repairing severe composite tissue injury of upper limbs. Methods 86 patients with severe composite tissue injury of upper limbs admitted into the hospital from June 2011 to June 2014 were taken as the research objects. All patients were given skin flaps or myocutaneous skin flaps for repairing treat-ment. The injured areas, donor site and repair method were statistically analyzed. The survival and healing status of the flaps of the injured areas were observed. Results There were 74 patients with skin flap survival after skin flaps transplantation and 12 patients with limbic necrosis of skin flaps. The total effective rate was 86.0%. With 6 to 12 months of follow-up after operation, the skin flaps of the injured areas grew well and the function was normal without obvious deformity. Conclusion The effect of skin flaps or myocutaneous skin flaps in the repairing severe composite tissue injury of upper limbs is satisfactory, which is suitable for clinical promotion.