高压氧治疗改善皮瓣成活的临床观察  

Clinical observation on hyperbaric oxygen in the treatment of survival ratio of skin flaps

作　　者：陈淼[1] 郝玥[2] 周娜[1] 张淑英[1] 

机构地区：[1]解放军总医院整形修复外科,北京100853 [2]解放军总医院高压氧科,北京100853

出　　处：《中国医药导报》2011年第12期28-30,共3页China Medical Herald

摘　　要：目的:探讨高压氧治疗对皮瓣移植存活率的影响。方法:选取我院皮瓣移植患者120例,将其随机分为实验组(68例)和对照组(52例);对照组术后常规预防皮瓣坏死,实验组在常规预防皮瓣坏死措施的基础上加用高压氧治疗;观察两组患者的皮瓣存活情况。结果:实验组皮瓣坏死3例(皮瓣坏死发生率为4.41%),对照组皮瓣坏死11例(皮瓣坏死发生率为21.15%),两组比较差异有统计学意义(χ2=8.267,P<0.05)。结论:皮瓣移植术后加用高压氧治疗,可明显提高皮瓣存活率。Objective： To investigate the effect on hyperbaric oxygen in the treatment of survival ratio of skin tlaps. Methods： 120 cases were divided into experimental group （68 cases） and control group （52 cases）. Experimental group were treated with conventional integrated measures and hyperbaric oxygen to prevent flap necrosis; and control group were treated with conventional integrated measures only. The statuses of healing of the skin flaps in the two groups were observed. Results： There were 3 cases of skin flap necrosis in experimental group （incidence rate of the skin flap necrosis was 4.41%）, and 11 cases of skin flap necrosis in control group （incidence rate of the skin flap necrosis was 21.15%）, and there was significant difference between two groups （X^2=8.267, P〈0.05）. Conclusion： The hyperbaric oxygen is obviously effective to increase the survival ratio of skin flaps.

关 键 词：皮瓣 坏死 高压氧 

分 类 号：R622.1[医药卫生—整形外科]