摘要
报道1980年以来为10例难于修复的功能部位深Ⅲ度烧伤早期创面移植游离皮瓣,获得成功,功能恢复满意。提出适应证的选择应持慎重态度。强调加强感染创面的处理,大剂量应用抗生素,为皮瓣成活创造条件。股前外侧游离皮瓣优点多,值得选用。提出手术时间依伤后10天内为佳。
From July 1980 fo July 1988. 10 free flaps were used to cover deep burn on wrist,elbow, heel and band. The wounds can be closed in time and the functions can be rehabilitated early. The results were not satisfied if the traditional methods were used to cover the infected and necrotic muscle, tendon, nerve, blood vessel, bone and joint due to electric. hot compressed or flame burns .The choice of using free flaps shoud be very careful because the operation time is relatively longer, the procedure is more complex. and the general condition of the patient may be interfered.The more serious results may be got if the free flap does not survive. It is recommanded to use antero-lateral femoral free flap. because the sites of blood vessels are constant. the donor area can be hidden from view, the thickness and softness are satisfied.
