皮瓣或肌皮瓣修复上肢严重复合组织损伤的效果研究.docVIP

皮瓣或肌皮瓣修复上肢严重复合组织损伤的效果研究 　　[摘要] 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。 中国论文网 /6/view-7159659.htm 　　[关键词] 皮瓣；肌皮瓣；上肢；复合组织损伤 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0048-02 　　Effect of Flaps or Myocutaneous Skin Flaps on Repairing Severe Composite Tissue Injury of Upper Limbs 　　WANG Heng， HU Hong-liang， SHEN Wei-jun， WANG Zhan-lei， YAN Ji-tao， GONG Jun-wu 　　Department of Hand and Foot Surgery， Luohe Second People’s Hospital， Luohe， Henan Province， 462000 China 　　[Abstract] 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 treatment. 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. 　　[Key words] Skin flap； Myocutaneous skin flap； Upper limb； Composite tissue injury 　　复合组织损伤是由挤压伤与撕脱伤所致，主要集中在四肢、头皮等部位，临床多采用自体移植复合组织瓣的方式修复缺损，重建肌肉功能。作为整形重建外科常用组织瓣，肌皮瓣组织丰富，血流供应充沛，具有抗感染性强，且成活率高，在修复上肢复合组织损伤中具有显著优势。该研究将该院2011年6月―2014年6月间收治患者作为研究对象，研究皮瓣或肌皮瓣修复上肢严重复