改良健侧平行桥式皮瓣修复患侧小腿下段严重创伤后皮肤缺损  

Modified Parallel Bridge Skin Flap of Healthy Side in Repair of Skin Defect Caused by Severe Trauma of Shank

作　　者：郝敏[1] 李伟[1] 刘安庆[1] 尚宏喜[1] 李美才[1] 丁强[1] 岑景文[1] 胡利君[1] 

机构地区：[1]广东省深圳市第二人民医院骨一科,518029

出　　处：《中国骨与关节损伤杂志》2007年第2期107-109,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨一种小腿严重创伤后大面积组织缺损的简单、安全的修复方法。方法对29例小腿下段、踝部严重创伤后较大面积皮肤缺损(>12cm×8cm),DSA造影显示1条或2条主干血管损伤,无法行邻近岛状皮瓣移植,采用改良的健侧带血管蒂平行桥式皮瓣移植。结果29例皮瓣移植均存活,但有1例患足血运不佳,皮瓣移植过早,患足逐渐坏死而截肢。结论该术式简单、安全,体位舒适,效果优良。Objective To investigate a somple and sate method of repair of large tissue defect caused by severe trauma of the shank. Methyls The skin defect （over 12cm× 8cm） of the shank caused by the severe trauma in 29 patients were included. DSA radiography showed one or two blood vessels were injured and the island flap grafting could not be used. The modified parallel bridge skin flap of healthy side was used to repair the skin defect caused by severe trauma of shank. Results The skin flaps in 29 patients survived. Because the blood supply was not sufficient in one patient and the skin flap grafting was performed too early, necrosis occurred and amputation was performed. Conclusion This procedure is simple and safe. The positioning of the patients is satisfactory. The effect is excellent.

关 键 词：平行桥式皮瓣 小腿严重创伤 皮肤缺损 

分 类 号：R644[医药卫生—外科学]