摘要
目的：观察带蒂皮瓣原位回植治疗上肢皮肤撕脱伤的效果。方法：本组75例经清创后撕脱皮肤带蒂皮瓣原位回植处理,根据撕脱皮肤的走行方向、大小、部位、损伤程度以及软组织床情况,根据蒂部供血范围采用皮下血管网层皮片以及全厚皮、中厚皮网状皮片回植,同时处理合并伤。结果：皮肤存活面积≥95%者59例,85%-94%者11例,75%-84%者3例,60%-74%者2例。治疗后仍有小面积皮肤坏死者,均经换药或二次植皮愈合。结论：充分评估皮肤撕脱伤伤情、合理选用修复方法,可提高带蒂皮瓣原位回植成活率。
Objective：To study the effect of the pedicle flap replantation in situ treatment of upper extremity skin avulsion.Methods：According to the avulsion skin traveling direction,size,location,degree of injury,as well as soft tissue bed situation,and according to blood supply to the scope of constantly pedicle,utilize subcutaneous vascular network layer of skin graft,full-thickness skin,the thick-skinned mesh skin graft for replantation,at the same time dealing with associated injuries.Results：After debridement and pedicle flap replantation in situ treatment in the 75cases,the area of ≥ 95% survival was 59 cases,85%～94% of the 11 cases,75%～84% in 3 patients,60%～74% in 2 cases.After treatment there were still cases with a small area of skin necrosis who were healed by dressing change or secondary skin grafting.Conclusion：The full assessment of skin avulsion injuries,come to a reasonable selection of repair methods,can improve the survival rate of replantation in situ pedicle flap.
出处
《中国民康医学》
2010年第12期1487-1488,共2页
Medical Journal of Chinese People’s Health
关键词
皮瓣
原位回植
带蒂
皮肤撕脱伤
上肢
Pedicle flap
Replantation In situ
Avulsion injury
Upper limb
