摘要
1990年10月至1991年9月,应用含脐旁血管蒂真皮下血管网薄皮瓣带蒂移植修复11例手部挤压撕脱伤。最大皮瓣长20cm,蒂宽6.5cm,远端宽10.5cm,最小皮瓣长6.5cm,蒂宽2.5cm。除2例因热压伤伴感染的创面分别在术后9天和11天断蒂外,其余均在5~7天断蒂。皮瓣成活良好。对本皮瓣的断蒂时间与优点进行了讨论。
From October 1990 to September 1991, 11 cases of band injury (2 cases of infected) had been repaired successfully with paraumbilical perforator artery pedicle axial flap with preserved subdermal vascular network. The largest size of the flap was 20cm×6.5~10. 5cm and the smallest one was 6. 5cm×2.5cm. All of skin flap survived. Division of the pedicles was performed 5~7 days postoperatively except 2 cases with infected wringer injury, which was done on 9th and 11th day. The pedicle division time and the quality of axial flap with preserved subdermal vascular network are discussed.