颜面部离断复合组织块原位回植14例  

In situ suturing technique for severe amputation of facial composite tissues in 14 cases

作　　者：林涧[1,2,3] 吴立志 张天浩 王之江[1] 刘蔡钺[1] Lin Jian;Wu Lizhi;Zhang Tianhao;Wang Zhijiang;Liu Caiyue.＊ Department of Orthopedics;The Xinhua Hospital(（Chongming）Affiliated to Medical College,Shanghai Jiao Tong University,Shanghai 202150,China)

机构地区：[1]上海交通大学医学院附属新华医院骨、显微外科,202150 [2]浙江省台州医院显微外科,202150 [3]解放军第二军医大学附属长征医院整形外科,202150

出　　处：《中华整形外科杂志》2018年第7期526-529,共4页Chinese Journal of Plastic Surgery

基　　金：上海市科研计划项目（144119733200）;上海市崇明县科技攻关项目（CKY2015-05）

摘　　要：目的报道颜面部离断复合组织块原位回植方法和疗效。方法2004年5月至2017年12月，急诊进行清创吻合血管、神经原位回植颜面部离断复合组织块14例，术后给予专科治疗。结果13例颜面部复合组织块离断再植全部成活，1例耳廓离断因局部挫伤至术后边缘坏死，经换药创面愈合。经3-48个月随访，回植的颜面部离断复合组织块皮肤色泽和外形接近正常，局部功能恢复优良．结论 颜面部离断复合组织块急诊进行原位回植是理想的治疗方法。Objective To report the method and effect of in situ suturing technique for severe amputation of facial composite tissues. Methods We in situ sutured severely amputated composite tissues of facial region in 14 cases in emergency by vessels and nerves anastomosis from May 2004 to December 2017. Results All replanted composite tissues survived in 13 cases. Edge necrosis of auricle occurred in 1 case because of serious contusion and it was cured after dressing changed. The color and appearance of the replanted composite tissues were close to normal after 3 to 48 months＇ follow-up. Conclusions In situ suturing technique in emergency is the ideal treatment for severe amputation of composite tissues of facial region.

关 键 词：面部 回植 显微外科技术 

分 类 号：R622[医药卫生—整形外科]