双重血供复合组织皮瓣重建伸膝装置并修复膝部、小腿中上段创面  

Double blood supply combined tissue flap was used to reconstruct the knee extensor device and repair the wounds in the middle and upper segments of the knee and lower leg

作　　者：李泽 余刚 张伟 谢卫国 张卫东 陈斓 蒋梅君 LI Ze;YU Gang;ZHANG Wei;XIE Weiguo;ZHANG Weidong;CHEN Lan;JIANG Meijun(Department of Burn Injury,the Third Hospital of Wuhan and Tongren Hospital,Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学同仁医院暨武汉市第三医院烧伤科,430060

出　　处：《临床外科杂志》2023年第10期986-989,共4页Journal of Clinical Surgery

基　　金：武汉市卫生与计划生育委员会项目(WX08A03)。

摘　　要：目的探讨双血供带阔筋膜逆行股前外侧复合组织皮瓣重建伸膝装置并修复膝部、小腿中上段创面的临床效果。方法2018年7月~2022年3月,我院收治的膝关节及小腿中上段深度烧伤病人5例,采用双血供复合组织皮瓣修复创面,利用阔筋膜修复、重建伸膝装置。观察、随访手术效果。结果5例病人入院后行清创术、封闭式负压引流后行双重血供复合组织皮瓣移植修复创面,利用皮瓣阔筋膜修复、重建伸膝装置,皮瓣存活。随访皮瓣质地柔软,无明显臃肿,膝关节功能恢复良好。结论双重血供复合组织皮瓣修复创面同时可重建伸膝装置,恢复膝关节功能。Objective To investigate the clinical effect of retrograde femoral anterolateral composite flaps with double blood supply and fascia on reconstruction of knee extension device and repair of wounds in knee and upper middle leg.Methods From July 2018 to March 2022,5 patients with deep burns of knee joint and middle and upper leg were treated in our hospital.The wounds were repaired by double blood supply composite tissue flap,and the knee extensor device was repaired and reconstructed by fascia.Observe and follow up the operation effect.Results Five patients underwent double blood supply composite tissue flap to repair knee and leg wounds,and five patients underwent debridement and VSD treatment after admission,and then underwent double blood supply composite tissue flap to repair wounds.The flap survived by using fascia lata flap to repair and reconstruct knee extender device.During follow-up,the skin flap was soft in texture without obvious swelling,and the knee joint function recovered well.Conclusion The double blood supply combined tissue flap can reconstruct the knee extension device and restore the function of the knee joint.It is an ideal treatment method to repair the deep wounds of the knee and lower leg.

关 键 词：烧伤 外科皮瓣 重建 伸膝装置 

分 类 号：R644[医药卫生—外科学]