上肢特深度烧伤复合组织缺损一次性修复与功能重建  

ONE STAGE REPAIR AND RECONSTRUCTION FOR SEVERE DEEP BURNS WITH COMPOUND TISSUE DEFECTS OF UPPER LIMB

作　　者：王乃佐[1] 沈祖尧[1] 宓惠茹[1] 桑慧华 马春旭[1] 沈余明[1] 周光峰[1] 

机构地区：[1]北京积水潭医院烧伤科

出　　处：《中国修复重建外科杂志》1998年第1期23-25,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：为了解决上肢特深度烧伤复合组织缺损修复与功能重建的难题，１９８５年６月～１９９７年５月，采用吻合血管或带血管蒂复合组织移植的方法，将多种修复与功能重建手术综合应用，一次手术修复上肢特深度烧伤复合组织缺损及重建功能２６例。其中烧伤２０例，热压伤４例，一氧化碳中毒昏迷后烧伤１例，放射烧伤１例。经１年～２年随访，全部患者均获得成功。认为，吻合血管或带血管蒂复合组织移植血运丰富，与创面嵌合严密，抗感染能力强，用于修复特深度烧伤创面，可挽救肢体，缩短疗程，恢复满意的功能。In order to solve the difficult problems of repair and reconstruction for severe deep burns with compound tissue defects of upper limb, 26 cases were treated with transplantation of compound tissue flap, vascularized by anastomosis of blood vessel or by vascular pedicle. Several kinds of reparative and reconstructive procedure could be performed simultaneously. Not only the tissue defect was repaired, but also the upper limb function was reconstructed in one stage operation. Owing to the presence of abundant vascular supply from the vascularized compound tissue and primarily closing the wounds, the antiinfection potency was high, then it was suitable for such conditions as freah severe deep burn with infection and compound tissue defects. As a result, this technique provided the best chance to save upper limb from amputation. The duration required for treatment could be markedly shortened. All the cases successed. The longterm fuctional recovery was satifactory. This method provided the possibility to solve effectively the difficult problem dealing with the severe deep burns with compound tissue defects of upper limb.

关 键 词：烧伤 复合组织缺损 修复 功能重建 上肢烧伤 

分 类 号：R644.05[医药卫生—外科学] R628[医药卫生—临床医学]