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皮瓣缺血-再灌注损伤的治疗
引用本文:顾文奇,张巍,柴益民.皮瓣缺血-再灌注损伤的治疗[J].中国修复重建外科杂志,2011(3):373-376.
作者姓名:顾文奇  张巍  柴益民
作者单位:上海交通大学附属第六人民医院骨科;
摘    要:目的综述皮瓣缺血-再灌注损伤治疗方法及技术。方法广泛查阅皮瓣缺血-再灌注损伤治疗技术的相关文献,对其治疗方法进行系统性综述。结果缺血-再灌注损伤是导致皮瓣术后坏死的主要因素之一。对缺血-再灌注损伤机制任一环节的干预均可有效减轻损伤,提高皮瓣术后成活率。结论皮瓣缺血-再灌注损伤的主要机制包括活性氧物质生成、中性粒细胞聚集、浸润等。可采用药物治疗、物理干预等方法对缺血-再灌注损伤中的某一或某些环节进行有效干扰或阻断,从而减轻动物皮瓣模型缺血-再灌注损伤,提高皮瓣成活率。

关 键 词:皮瓣  缺血-再灌注损伤  预处理  抗氧化剂  白细胞抑制剂

TREATMENT OF ISCHEMIA-REPERFUSION INJURY OF FLAP
GU Wenqi,ZHANG Wei,CHAI Yimin.TREATMENT OF ISCHEMIA-REPERFUSION INJURY OF FLAP[J].Chinese Journal of Reparative and Reconstructive Surgery,2011(3):373-376.
Authors:GU Wenqi  ZHANG Wei  CHAI Yimin
Institution:.Department of Orthopedics,the Sixth People’s Hospital,Shanghai Jiaotong University,Shanghai,200233,P.R.China.
Abstract:Objective To review the treatment methods and techniques of ischemia-reperfusion injury of flap.Methods Recent basic research literature concerning ischemia-reperfusion injury of flap was reviewed and analyzed in terms of treatment techniques.Results Ischemia-reperfusion injury is one of the leading causes of flap necrosis postoperatively.Interventions against any link of the ischemia-reperfusion injury progress could effectively reduce the damage and improve the survival rate of flaps.Conclusion Including ...
Keywords:Flap Ischemia-reperfusion injury Preconditioning Antioxidant Leukocyte inhibitor  
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