系列组织重建及组合组织移植修复下肢严重交通伤26例  

Series tissues reconstruction and composite tissues transfer in treatment of 26 cases of severe traffic injury of lower extremities

作　　者：王剑利 王成琪 付兴茂 田青叶 张祚勇 李秀中 

机构地区：[1]解放军第八十九医院全军创伤骨科中心,潍坊261058

出　　处：《中华创伤杂志》2000年第4期207-209,共3页Chinese Journal of Trauma

摘　　要：目的　探讨下肢严重交通伤的治疗方法。　方法　下肢严重粉碎性骨折或骨缺损、主要血管神经损伤、大面积皮肤软组织缺损 2 6例 ,其中男 17例 ,女 9例 ;年龄 4.5～ 71岁。采用显微外科技术 ,根据伤情及创区污染程度 ,选择带有骨、肌腱等组织组合皮瓣行Ⅰ期修复或采用分期系列组织重建方式治疗下肢严重交通伤。　结果　 2 6例濒临截肢的毁损伤肢经上述方法处理得以挽救。随访 1.7～ 8年 ,功能优良率为 6 9.2 % (18 2 6 )。　结论　组合组织移植及分期系列重建是治疗和挽救严重下肢交通伤较为有效和实用的方法。Objective To reconstruct and repair the severely injured lower extremities crushed in traffic accidents using series vascularized composite tissues transfer or incorporated transfer. Methods Twenty-six patients (male 17, female 9) aging from 4.5 to 71 years old, were badly injured in lower extremities, including skeletal comminuted fractures and defects, damages of major vessels and nerves, and large defects of skin and soft tissues. According to the severity and pollution of the injured extremities, we selected vascularized flap transfer incorporated with bone and tendon to reconstruct the defects of mutiple tissues at one stage, or series reconstruction by vascular composite tissues transplantation by stages. Results In the 26 cases their crushed extremities were rescued successfully using the methods mentioned above. The follow-up from 1.7 to 8 years showed that the rate of excellent and good function was 69.2% (18/26). Conclusions The vascular composite tissues transfer and series reconstructation were proved effective and practical for saving severely wounded lower limbs in traffic trauma.

关 键 词：组织移植 下肢交通伤 组织重建 

分 类 号：R641[医药卫生—外科学]