| 皮瓣、肌皮瓣修复慢性难愈性溃疡创面 |
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| 引用本文： | 蔡兴东,曾社平,王敏,周庆红,张丹萍,白晓东.皮瓣、肌皮瓣修复慢性难愈性溃疡创面[J].临床军医杂志,2006,34(4):433-434. |
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| 作者姓名： | 蔡兴东 曾社平 王敏 周庆红 张丹萍 白晓东 |
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| 作者单位： | 1. 解放军第477医院,烧伤整形科,湖北,襄樊,441003
2. 武警总医院,烧伤整形科,北京,100039 |
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| 摘 要： | 目的探讨应用皮瓣、肌皮瓣修复慢性难愈性溃疡创面的效果。方法1994—2005年我们应用局部皮瓣4个,轴形皮瓣38个,肌皮瓣移植19个,肌瓣转移2个。修复慢性溃疡创面59例(63个创面)。结果除2个皮瓣边缘出现表皮坏死,换药后治愈,其余61个皮瓣、肌皮瓣、肌瓣均全部成活,创面一期修复。结论皮瓣、肌皮瓣血运丰富,不失为是一种修复复杂、慢性难愈性溃疡创面的好方法。
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| 关 键 词： | 慢性溃疡 皮瓣 肌皮瓣 |
| 文章编号： | 1671-3826（2006）04-0433-02 |
| 收稿时间： | 2006-05-29 |
| 修稿时间： | 2006年5月29日 |
Repairing Chronic Wounds with Skin and Myocutaneous Flaps |
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| Cai Xing-dong,Zeng She-ping,Wang Min,Zhou Qing-hong,Zhang Dan-ping,Bai Xiao-dong.Repairing Chronic Wounds with Skin and Myocutaneous Flaps[J].Clinical Journal of Medical Officer,2006,34(4):433-434. |
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| Authors: | Cai Xing-dong Zeng She-ping Wang Min Zhou Qing-hong Zhang Dan-ping Bai Xiao-dong |
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| Institution: | 1. Department of Bum and Plastic Surgery. PLA 477th Hospital, Xiangfan 441003, China; 2. Department of Bum and Plastic Surgery, General Hospital of Armed Police Force, Beijing 100000, China |
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| Abstract: | Objective To evalute the clinical effect of skin and myocutaneous flaps on repairing chronic wounds.Methods From 1994 to 2005,we treated 59 patients(63 chronic wounds) with four local skin flaps,38 axial pattern skin flaps,19 myocutaneous flaps and two pedical muscle graft.Results In 63 flaps,two had a little necrosis at the edge,and the other flaps survived completely.Conclusion The blood supplies to skin and myocutaneous flaps are insufficient.Myocutaneous flap or pedical muscle graft can be used to repair the serious infective chronic wounds.The study shows that the skin flap and myocutaneous flap are both ideal for the treatment of complicated chronic wounds. |
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| Keywords: | chronic wound skin flap myocutaneous flap |
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