全厚皮片移植技术修复单纯性大隐静脉曲张性巨大慢性溃疡  

Clinical effect of treating in lower extremity venous extensive ulcer of simple varicosity of great saphenous vein with full thickness skin grafting of plastic surgery

作　　者：查选平 黄华荣 陈秀明[1] 许云 林妹 雷馥铭 ZHA Xuan-ping;HUANG Hua-rong;CHEN Xiu-ming;XU Yun;LIN Mei;LEI Fu-ming(Department of Burn&Plastic Surgery,the 422th Hospital of PLA,Zhanjiang 524009,Guangdong,China)

机构地区：[1]中国人民解放军第422医院烧伤整形外科,湛江524009

出　　处：《中国临床医学》2018年第2期249-251,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨全厚皮片移植技术修复单纯性大隐静脉曲张性巨大慢性溃疡的临床疗效。方法:2011年1月至2016年12月,对我院收治的23例单纯性下肢静脉曲张性巨大慢性溃疡患者行大隐静脉高位结扎+主干抽剥+曲张分支切除+溃疡区小切口深筋膜下交通支全离断手术,术中采用整形外科全厚皮片移植技术修复创面,观察其修复效果。结果:23例患者的溃疡创面均愈合,随访半年至2年,无复发。结论:对于单纯性大隐静脉曲张性巨大慢性溃疡,在纠正血流动力学的基础上应用全厚皮片移植技术,能有效提高治愈率,降低复发率。Objective:To observe the clinical effect of full thickness skin grafting of plastic surgery in the treatment of lower extremity venous extensive ulcer of simple varicosity of great saphenous vein.Methods:A total of 23 patients from January 2011 to December 2016 with lower extremity venous extensive ulcer of simple varicosity of great saphenous vein,who underwent great saphenous vein high ligation,stripping,varicose vein branch ablation and subfascial perforating vein surgery combined with full thickness skin grafting of plastic surgery.Results:The ulcers in 23 cases were all healed.There was no recurrence in six months to two years follow-up.Conclusions:For lower extremity venous extensive ulcer of simple varicosity of great saphenous vein,on the basis of the traditional operation,full thickness skin grafting of plastic surgery can improve the cure rate and decrease the recurrence rate.

关 键 词：小腿静脉性溃疡 大隐静脉曲张 全厚皮片移植 

分 类 号：R62[医药卫生—整形外科]