应用不同类型皮瓣修复电烧伤深度创面

Reparation of deep burn wounds with different kinds of skin flaps in patients with electrical injury

目的 总结采用不同类型皮瓣修复严重电烧伤患者创面的临床经验。 方法 应用游离皮瓣、轴型血管蒂岛状皮瓣、局部邻近皮瓣、肌皮瓣等修复 4 9例电烧伤患者的 6 4个创面。 结果 皮瓣完全坏死 2例 ,边缘淤血坏死 4例 ,其余皮瓣均完全成活 ,创面Ⅰ期愈合。 结论 根据电烧伤程度选择恰当的皮瓣修复创面 ,能较好地防止深部组织感染和渐进性坏死 ,是一种有效、可靠的治疗手段。

Objective To sum up the clinical experience in the reparation of burn wounds with different types of skin flaps in patients with severe electrical injury. Methods Free skin flap, axile island flap with vascular pedicle and muscular skin flap were employed to repair 64 wounds in 49 cases. Results Skin flap necrosis happened in 2 cases, congestion and necrosis at the edge of skin flaps in 4 cases, and complete survival of the skin flaps and primary healing of the wounds in the remaining cases. Conclusion Reparation of wounds with proper skin flaps according to the degree of the electrical injury is effective and reliable, which might be beneficial to the prevention of necrobiosis and the infection in deep tissue.