胸脐皮瓣修复深度烧伤创面疗效观察  

Clinical observation of the paraumbilical skin flaps application in the repair of the wounds of 39 patients with severe burns

作　　者：王强[1] 赵玉玲[1] 曹全斌[1] 杨占杰[1] 朱典勇[1] 

机构地区：[1]解放军第八十九医院烧伤整形科,山东潍坊261021

出　　处：《中华烧伤杂志》2006年第4期266-268,共3页Chinese Journal of Burns

摘　　要：目的观察胸脐皮瓣早期修复深度烧伤创面的临床应用效果。方法笔者应用胸脐皮瓣(分别采用带蒂转移、岛状转移、游离移植以及与多种皮瓣联合转移的方式)修复39例深度烧伤患者创面,观察皮瓣的成活情况、色泽、弹性,有无瘢痕挛缩导致的功能障碍及供瓣区愈合情况。结果创面彻底清创后未发生明显感染。胸脐皮瓣面积最大为55 cm×27 cm,最远达到同侧腋中线,且皮瓣可跨越腹中线,最远达对侧10 cm,皮瓣全部成活。33例患者随访1-46个月,皮瓣色泽及弹性良好,无瘢痕挛缩导致的功能障碍,供瓣区部位隐蔽,无明显瘢痕形成。结论胸脐皮瓣根据创面大小及部位采用不同的转移方式,是早期修复深度烧伤创面较理想的方法。Objective To evaluate the effectiveness of paraumbilical skin flaps for the repair of the severe burn wounds. Methods Pedicled, island, or free paraumbilical skin flaps, as well as combined transplantation of several kinds of flaps were used to repair the wounds of 39 patients with severe bums. The largest paraumbilical skin flap was 55 × 27 cm^2 in area, with the end approaching the armpit midline of the axilla on the same side, and extending 10cm from the abdominal midline. The survival, color, elasticity of the flaps, degree of deformity resulted from scarcontracture, and the condition of donor area were observed. Results All the paraumbilical skin flaps survived, without obvious infection subsequent to complete debridement of the wounds. The flaps exhibited good color and elasticity, without scar contracture after 1 to 46 months in 33 patients. No obvious scar formation was observed in the donor area. Conclusion Paraumbilical skin flap is an ideal one for the early repair of deep burn wounds, because it can cover a large area, and can be transferred in different ways according to the area and the position of the wounds.

关 键 词：外科皮瓣 烧伤 移植 创面修复 

分 类 号：R644[医药卫生—外科学] R683.42[医药卫生—临床医学]