深度与难愈性创面192处的皮瓣修复 |
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引用本文: | 叶祥柏,王锡华,石东文,陈忠勇,夏来启,沈运彪,李金玺,高彩宏. 深度与难愈性创面192处的皮瓣修复[J]. 西北国防医学杂志, 2010, 31(5): 342-344 |
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作者姓名: | 叶祥柏 王锡华 石东文 陈忠勇 夏来启 沈运彪 李金玺 高彩宏 |
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作者单位: | 兰州军区乌鲁木齐总医院烧伤整形科,新疆,乌鲁木齐,830000 |
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摘 要: | 目的:总结应用(肌)皮瓣修复全身各部位深度与难愈性创面的临床效果和经验。方法:自1997-06~2009-06共收治各种原因引起的深度与难愈性创面患者165例192处创面,采用(肌)皮瓣进行修复。结果:1例游离皮瓣因发生静脉危象坏死,1例腓肠神经营养血管逆行岛状皮瓣远端发生部分坏死,经换药后植皮,创面愈合;1例病程20年的褥疮术后切口裂开,行二次手术愈合,其余创面全部一期修复,一期愈合率为98%。结论:用(肌)皮瓣修复深度及难愈性创面疗程短,效果好,治愈率明显提高。
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关 键 词: | 难愈性创面 深度创面 皮瓣 肌皮瓣 修复 |
Repair of deep and refractory wound with skin flaps or musculocutaneous flaps |
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Affiliation: | YE Xiang-bo,WANG Xi-hua,SHI Dong-wen,et al.(Department of Burn and Plastic Surgery,Urumqi General Hospital,Lanzhou Command,PLA,Urumqi 830000,China) |
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Abstract: | Objective:To sum up the clinical effect and experience in repairing deep and refractory wound with skin flaps or musculocutaneous flaps.Methods:From June 1997 to June 2009,a total of 192 wounds in 165 patients were treated with skin flaps or musculocutaneous flaps transplantation,the clinical data were analyzed retrospectively.Results:The free skin flap necrosis occurred in one patient,resulting from venous embolism,and a reversed sural neurovascular island skin flap was not survival completely in one patient.Both were repaired with changing dressings and skin grafting.Reoperation was performed in one patient with 20-year decubitus ulcer after disruption of wound.The primary healing rate was 98%.Conclusion:The skin flap or musculocutaneous flap transplantation is the most effective way to deal with the deep wound and refractory wound. |
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Keywords: | Refractory wound Deep wound Skin flap Musculocutaneous flap Repair |
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