薄型腹壁手套样皮瓣修复手背IV度烧伤创面  

Repair of IV degree burns wound on the dorsum of hands using thin abdominal wall glove flap

作　　者：王飞[1] 刘晟[1] 周波[1] 王仁素[1] 王超[1] 王永杰[1] 陈旭林[1] 

机构地区：[1]安徽医科大学第一附属医院烧伤科,合肥230022

出　　处：《安徽医科大学学报》2014年第8期1177-1179,共3页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81000836)

摘　　要：探讨薄型腹壁手套样皮瓣修复严重手背Ⅳ度烧伤创面的疗效.收治手部Ⅳ度烧伤患者9例,其中电烧伤6例,热压伤3例.手背创面清创后采用薄型腹壁手套样皮瓣修复.结果显示：8例术后皮瓣完全成活,颜色和弹性与受区较匹配,无臃肿和畸形,1例术后由于皮瓣下感染,皮瓣部分坏死,创面经换药引流后移植中厚皮修复.随访6 ～ 12个月,手部功能良好,外观满意.薄型腹壁手套样皮瓣,皮下脂肪组织较少,厚度较薄,一次成型,是修复严重手背烧伤创面的理想皮瓣之一.To investigate the effect of thin abdominal wall glove flap in repairing the Ⅳ degree burns wound on the dorsum of hands.Nine patients with Ⅳ degree burns wound were hospitalized from March 2010 to March 2012.Six cases were due to electrical burns,3 were hot crush injuries.After debridement,a thin abdominal wall skin glove flap was designed to repair the wounds.The flaps in 8 patients survived completely with a result of a good elasticity and matched appearance of the recipient area without obvious bulkiness and deformity.Partial necrosis of flap occurred in only one patient due to infection and it was closed by transplantation of partial-thickness skin after dressing change.Until 6～ 12 months follow-up,the function of injured hands recovered well with satisfactory appearance.Thin abdominal wall glove flap with less adipose tissue,is one of the ideal flap for repairing severe burnwounds on the dorsum of hands.

关 键 词：薄型皮瓣 手 Ⅳ度烧伤 创面修复 

分 类 号：R644[医药卫生—外科学] R628[医药卫生—临床医学]