髂腹股沟轴型带蒂皮瓣修复手部多指热压伤 |
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引用本文: | 李文东,王科杰,戚建武,竺枫,陈宏,章伟文.髂腹股沟轴型带蒂皮瓣修复手部多指热压伤[J].实用手外科杂志,2011,25(2):97-98. |
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作者姓名: | 李文东 王科杰 戚建武 竺枫 陈宏 章伟文 |
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作者单位: | 宁波市第六医院手外科,浙江宁波,315040 |
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摘 要: | 目的探讨髂腹股沟轴型带蒂皮瓣修复手部2—4指或2—5指热压伤所致皮肤Ⅲ°烫伤疗效分析及临床应用价值。方法利用髂腹股沟轴型带蒂皮瓣修复热压伤致2—4指或2—5指近中节指背皮肤Ⅲ°烫伤56例。结果56例髂腹股沟轴型带蒂皮瓣全部成活,经过10个月~2年的随访,恢复良好。结论髂腹股沟轴型带蒂皮瓣安全可靠,成活率高,供区损伤小。多指热压伤并指皮瓣修复术后,分指时皮瓣能够提供充足的皮肤。避免再次取皮游离植皮。
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关 键 词: | 皮瓣 修复手术 指热压伤 皮肤缺损 |
Repair of hot crush injury of multiple fingers with pedicled ilio-inguinal axial skin flap |
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Institution: | LI Wen-dong, WANG Ke-jie, QI Jian-wu, et al (Department of Hand Surgery, Ningbo NO.6 Hospital, Ningbo, Zhejiang, 315040, China) |
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Abstract: | Objective To discuss the therapeutic effect and clinical application of pedicled ilio-inguinal axial skin flap for coverage of hot crush injury in Ⅲ° scale in the 2nd - 4th or 2nd - 5th fingers.Methods To utilize pedicled ilio-inguinal axial skin flap for coverage of hot crush injury in Ⅲ° scale in dorsal skin of the 2nd - 4th or 2nd - 5th proximal phalanx fingers. 56 cases were involved in this study.Results The flaps used in the 56 cases were all survived. The outcomes were satisfactory in a 10-24month postoperative follow-up. Conclusion Pedicled ilio-inguinal axial skin flap can provide a safe and reliable operative outcomes with high survival rate with hot crush injuries can allow other donor sites. minor damage in the donor site. The flaps supplied in the multi-fingers enough skin in separated fingers and avoid undertaking skin grafting with |
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Keywords: | Flap Reparative surgery Hot crush injury of finger Defect of skin |
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