| 远位和邻近带蒂皮瓣早期修复手热压伤 |
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| 引用本文： | 顾海峰,倪俊,张杏梅,张建,肖玉瑞. 远位和邻近带蒂皮瓣早期修复手热压伤[J]. 临床军医杂志, 2007, 35(5): 703-704 |
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| 作者姓名： | 顾海峰 倪俊 张杏梅 张建 肖玉瑞 |
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| 作者单位： | 解放军第85医院,整形烧伤外科,上海200052;瑞金医院,烧伤外科,上海,200011 |
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| 摘 要： | 目的探讨早期应用远位和邻近带蒂皮瓣修复手部热压伤的临床疗效。方法对35例各种原因所致手热压伤早期采用远位和邻近带蒂皮瓣修复,术后早期给予康复治疗。结果术后34例皮瓣成活,1例皮瓣因蒂部受压坏死。1~2年后随访,外形和功能恢复均较满意。结论根据不同的创面选择远位和邻近带蒂皮瓣修复手部热压伤,结合早期康复治疗,可较好地恢复手的外形和功能。
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| 关 键 词： | 烧伤 手热压伤 皮瓣 |
| 文章编号： | 1671-3826（2007）05-0703-02 |
| 收稿时间： | 2007-07-26 |
| 修稿时间： | 2007-07-26 |
Early Reconstruction of Hand Hot-crush Injury with Distal and Proximal Pedicel Skin Flaps |
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| Gu Hai-feng,Ni Jun,Zhang Xing-mei,Zhang Jian,Xiao Yu-rui. Early Reconstruction of Hand Hot-crush Injury with Distal and Proximal Pedicel Skin Flaps[J]. Clinical Journal of Medical Officer, 2007, 35(5): 703-704 |
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| Authors: | Gu Hai-feng Ni Jun Zhang Xing-mei Zhang Jian Xiao Yu-rui |
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| Affiliation: | 1. Department of Burn and Plastic Surgery, PLA 85th ttospital, Shanghai 200052, China; 2. Department of Burn Surgery, Ruijin Hospital, Shanghai 200011, China |
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| Abstract: | Objective To investigate the clinical effect of the early reconstruction of hand hot-crush injury with distal and proximal pedicel skin flaps transfer.Methods A total of 35 cases with severe hand hot-crush injury were repaired with distal and proximal pedicel skin flap transfer.Postoperative patients were treated by rehabilitation at early stage.Results All the flaps were survived with satisfactory effect,except for one case of necrosis.The patients were followed up 1-2 years. All the skin flaps showed better color and texture,and the hand functions were satisfactory.Conclusion Distal and proximal pedicel skin flaps can be adopted to repair hot-crush injury of the hand according to different skin defects,and together with early rehabilitation treatment,the good recovery of the function and the hand appearance can be achieved. |
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| Keywords: | burn hand hot-crush injury skin flap |
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