摘要
目的:探讨扩张皮瓣转移后滑液囊肿的形成原因及防治措施。方法:皮瓣扩张转移术患者56例,共实施皮肤软组织扩张术147例次,扩张皮瓣转移后,其中15个皮瓣下形成不同程度的滑液囊肿,发生时间为术后7d～3个月,发生率为10.2%。滑液囊肿经切除囊内膜、术后彻底引流、预防感染等处理。结果:不同部位滑液囊肿发生率以四肢最高(26.7%),其次为颈部(15.4%)、躯干(8.8%),头面部未见发生;不同容量扩张器滑液囊肿发生率以500～800mL最高(27.6%),其次为300～400mL(11.8%),100～200mL最低(1.5%);扩张皮瓣转移时内膜不剥离者滑液囊肿发生率为26.9%,明显高于内膜剥离者(3.8%)。结论:重视扩张器埋置部位、容量、切除部分囊内膜、尽可能选用多个小型扩张器、皮瓣转移后适当固定是有效防治扩张皮瓣转移后滑液囊肿形成的重要措施。
AIM:To explore the cause of synovial cyst after the transfer of prefabricated expanded skin flap and its prevention and treatment. METHODS:Fifty six patients in 147 skin expanders were preformed.Fifteen synovial cysts in 147 expanded skin flaps were found from 7days to 3 months postoperation,and the incidence was 10.2%.Satisfactory results were achieved in all the cases via excision of partial synovial intima,exhaustive drainage,proper fixation with compression,and preventive infection after operation. RESULTS:Incidence of synovial cyst in expanded skin flaps in extremities was the highest(26.7%),following with in neck(15.4%) and trunk(8.8%).There was no synovial cyst found in head and face.Incidence of synovial cyst in skin flaps expanded with 500-800 mL expanders was the highest(27.6%),following with 300-400 mL expanders(11.8%) and 100-200 mL expanders(1.5%). Incidence of synovial cyst in skin flaps whose intima was maintained was 26.9%,however, synovial cyst was found in only 3.8%of the cases whose intima was peeled partially. CONCLUSION:It is effective in preventing and treating the formation of synovial cyst to set proper position of a skin expander subcutaneously,inject saline into the expander,set several small expander possibly and excise partial synovial intima and proper fixation with compression after the transfer of prefabricated expanded skin flap.
出处
《中国临床康复》
CSCD
2003年第32期4380-4381,共2页
Chinese Journal of Clinical Rehabilitation
