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腹直肌肌皮瓣修复髂腹股沟区电烧伤巨大深部组织缺损 被引量:2

Repair of massive deep soft tissue defect in ilioinguinal region caused by electric burn with rectus abdominis myocutaneous flap
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摘要 目的探讨腹直肌肌皮瓣移位修复髂腹股沟区电烧伤巨大缺损的临床应用价值。方法2002年1月~2006年3月对12例电烧伤所致髂腹股沟区巨大软组织缺损行腹直肌肌皮瓣移位修复创面。手术时机为伤后1周左右,根据创面面积(20~10)cm×(15~3.5)cm设计皮瓣覆盖创面缝合,观察术后皮瓣愈合情况。结果术后12例皮瓣均延迟愈合,愈合满意,无并发症,无腹壁疝发生。结论腹直肌肌皮瓣移位修复髂腹股沟区电烧伤创面,皮瓣血运好,一期修复,操作较容易,患者病程短,节约费用。 Objective To discuss the clinical value of rectus abdominis myocutaneous flap transplatation in treating massive soft tissue defect in ilioingninal region caused by electric burn. Methods From January 2002 to March 2006, 12 cases of massive soft tissue defect in ilioinguinal region caused by electric burn were treated with rectus abdominis myocutaneous flap transplantation to repair the burn wounds. The timing of surgery was around one week after injury. The area of wounds is (20 - 10) cm× ( 15 - 3.5) cm. We designed the skin flap to cover the wound according to its area and transplanted the skin flap to it. Results The wounds of 12 patients were late healed without complications and lateral ventral syndrome. Conclusion The rectus abdominis myocutaneous flap transplanted to the wounds has a good blood supply with primary repair. This method is easy to operate with shortened course of disease as well as decreased cost.
作者 刘安 秦秀龙
出处 《中华损伤与修复杂志(电子版)》 CAS 2007年第4期209-211,共3页 Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词 腹直肌肌皮瓣 髂腹股沟区 软组织缺损 皮瓣移植 Rectus abdominis myocutaneous flap Ilioinguinal region Soft tissue defect Skin flap transplantation
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