背阔肌肌皮瓣移植急诊修复肢体软组织缺损  

REPAIR OF SOFT TISSUE DEFECTS IN EXTREMITYES BY TRANSFER OF LATISSIMUS DORSI MYOCUTANEOUS FLAP DURING EMERGENCY OPERATION/

作　　者：曾炳芳[1] 眭述平[1] 姜佩珠[1] 瞿福明 谢璧和[1] 蔡培华[1] 于仲嘉[1] 

机构地区：[1]上海市第六人民医院骨科

出　　处：《中国修复重建外科杂志》1996年第1期42-44,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：１９９１年４月～１９９４年８月，急诊治疗１０例肢体大面积损伤伴骨骨各、肌腱裸露患者，采用带血管蒂背阔肌肌皮瓣移位修复１例，游离背阔肌肌皮瓣移植修复６例，游离双侧背阔肌肌皮瓣组合移植修复３例。移植肌皮瓣完全成活６例，远端皮肤部分坏死３例，大部分皮肤坏死１例，但肌瓣均全部成活。有２例发生轻微感染，换药后愈合。介绍了手术方法，讨论了手术适应证及急诊修复创面的优点等。Form April 1991 to August 1994, ten cases of extensive soft tissue injury of the extremities with bone and tendons exposed were treated by emergency transfer of latissimus dorsi myocutaneous flaps. The types of the myocutaneous flap were as follows: with vascular pedicle in 1 case, free latissimus dorsi myocutaneous flap in 8 cases, and transfer of combined bilateral latissimus dorsi myocutaneous flaps in 1 case. There were 8 males and 2 females with the ages ranging from 7 to 44 years (an average of 24.4 years). The operations were all performed within 6 hours after trauma except in 1 case, due to its delayed arrival to our hospital, the operation was carried out 14 days after trauma. The results were as follows: total survival of the flap in 6 cases, necrosis of the distal portion of the skin of the flap in 3 cases and necrosis of a greater portion of the skin in one case who had been subjected the transfer of combined bilateral latissimus dorsi myocutaneous flap. but the deep muscle layer was intact. However, the result was encouraging. The operative technique and the advantages of emergency coverage of the wound were discussed.

关 键 词：创伤 组织缺损 背阔肌 肌皮瓣 皮瓣移植 

分 类 号：R641.06[医药卫生—外科学] R622.1[医药卫生—临床医学]