皮瓣与肌皮瓣移植在治疗深度烧伤中的应用  

Application of Skin and Myocutaneous Flap Grafting to the Treatment of Deep Burn

作　　者：闵定宏[1] 曾元临[1] 张志安[1] 李国辉[1] 杨鸿明[1] 

机构地区：[1]江西医学院第一附属医学烧伤中心,江西南昌330006

出　　处：《江西医学院学报》2000年第3期63-65,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :探讨多种类型皮瓣在深度烧伤创面上应用。方法 :观察皮瓣下感染、出血和皮瓣动静脉危象及其所修复部位的功能 ,分析皮瓣应用的种类、时机。结果 :本组 6 1例 (76例次 ) ,所用 15种皮瓣全部成活率为 84.2 1% (6 4/76 ) ;术后皮瓣下感染 8例 ,出血 3例 ,发生动脉危象 10例。皮瓣成活率为 6 0 % (6 / 10 ) ;发生静脉危象 4例 ,全部成活率为 0 ;晚期病例修复后 73 .2 1%功能要进行重建。结论 :皮瓣与肌皮瓣修复深度烧伤创面具有较好的疗效。皮瓣修复晚期功能部位创面 ,多数病例功能恢复差。Objective: To evaluate the effect of various surgical flaps on transplanting in deep burn. Methods: The full survival rate, complication and postoperative function of 76 surgical flaps of 15 kinds in 61 patients were observed. The applicable opportunity and kinds of flap were analyzed. Results: The full survival rate of 76 surgical flaps was 84.21%. Among which, there were 8 infection and 3 bleeding below the flaps, 10 artery and 4 vain crises of the flaps. Conclusions: The application of skin and myocutaneous flap grafting had therapeutic effects on deep burn. A majority of the patients with advanced deep burn required a secondarily functional reconstruction.

关 键 词：外科皮瓣 深度烧伤 修复术 皮瓣移植 电烧伤 

分 类 号：R647[医药卫生—外科学] R622.9[医药卫生—临床医学]