皮瓣及肌皮瓣在严重电烧伤创面早期修复中的应用

Clinical applicafion of flaps in muscle cutaneous flaps in repair of wounds after deep electrical burn in early period

目的总结严重电烧伤创面早期皮瓣、肌皮瓣修复的临床经验。方法回顾性分析2000年至2009年安徽医科大学第一附属医院烧伤科收治的严重电烧伤患者116例146处电烧伤创面,观察146处创面早期扩创一期皮瓣、肌皮瓣修复后的临床效果。结果 146处电烧伤创面全部治愈,手术后皮瓣、肌皮瓣一期愈合率96.4%。结论早期清创一期皮瓣、肌皮瓣修复严重电烧伤创面是一种有效方法,可以最大限度修复电烧伤部位外形和功能。

Objective To summarize the clinical effects of wounds repairing with flaps or muscle cutaneous flaps aSter deep electrical burn in early period. Methods All the 116 patients with deep electrical burn were hospitalized to the ward from 2000 to 2009. Flaps or muscle cutaneous flaps were applied to repair the wound aSter debridement in early period. Results All the 146 wounds aSter deep electrical were reconstructed with Flaps or muscle aSter the operation. The rate of primary healing was 96.4%. Conclusions It is an effective method to repair wounds aSter debridement with flaps or muscle cutaneous flaps after deep electrical burn in early period. Figure and function of all cases can be greatly improved by this method.