含真皮下血管网超薄随意皮瓣的血运研究和临床应用  

A study of blood circulation of the"super-thin"skin flap with preserved subdermal vascular network and it clinical application

作　　者：孙永华[1] 王春元[1] 李迟[1] 苏虹[1] 韩行义[1] 阎汝蕴[1] 张国安[1] 张普柱[1] 

机构地区：[1]北京积水潭医院北京创伤骨科研究所,100035

出　　处：《中华整形烧伤外科杂志》1991年第1期8-10,73+81,共3页

摘　　要：自1984年至1990年,通过12例尸体,20只上肢,6只下肢墨汁动脉灌注及造影剂注入,了解超薄皮瓣的血运。并在临床上对电击伤,热压伤,化学灼伤等18例病人进行超薄皮瓣移植手术,3～5天断蒂,均全部成活。外观及功能良好。For the study of the blood circulation of the superthin skin flap,arterial perfusion of Chinese black ink was performed in 24 cadavers.From 1984 to 1990,'super-thin'skin flap transplantations have been done in 18 patients with deep injuries as a result of electric contact burn,wringer injuries,or chemical burns.The flap taken from thoracic,abdominal,or upper arm regions was trimmed before transfer,and 2 mm thickness of fat was left attached to the subdermal vascular network.The largest super-thin skin flap of the inguinal region was 7cm in breadth at the pedicle,15 cm in length and 20 cm in width at the distal part. All of these flaps survived after transfer.Division of the pedicles was performed 3-5 days postoperatively.The cosmetic and functional results were all satisfactory.

关 键 词：超薄随意皮瓣 真皮下血管网 

分 类 号：R622.1[医药卫生—整形外科]