皮肤软组织缺损的远位皮瓣修复

Pedicle flap donor sites repair of soft traumatic tissue defect

目的:总结远位皮瓣在创伤救治中的价值和经验体会。方法:对2001～2010年本院收治的应用皮瓣修复的住院患者资料进行分析总结。结果:本组64例皮肤软组织缺损需皮瓣修复的患者中,22例应用远位皮瓣修复,胫前皮肤软组织缺损应用远位皮瓣修复4例,手部皮肤软组织缺损应用远位皮瓣修复18例。在本组皮瓣修复的患者中远位皮瓣应用的比例较高(34.4%),特别是近年来修薄成真皮下血管网皮瓣后应用效果有所提高,清创抗感染是手术成功的基础,可以清创后立即行皮瓣移植,也可以在急诊处理中先清创,1～3d后再行皮瓣移植。结论:创伤治疗中应用远位皮瓣可以挽救肢体,减轻伤残率,是创伤治疗中的重要方法。

Objective：To summarize the value and the experiences of pedicle flap donor sites for the repair of soft tissue injure.Methods：To analyze the medical records of trauma in the plastic surgery center from 2001 to 2010.Results：There were 64 patients whose soft tissue defects were repaired with skin flap,included 22 pedicle flap donor sites.anterior tibial soft-tissue defdct 38 patients.Hand soft-tissue defect 26 patients.Pedicle flap donor sites was made up 34.4% of 64 patients.Thorough debridement was very important for success of surgery.Anastomosis was the key point in surgery.The skin flap donor sites could he transferred immediately or 1～3 days after idement.Conclusion：Application of skin flaps donor sites,for the treatment of trauma can save limbs and reduce raaims rate.There was no other technique can replace the flap donor sites for the repair of soft tissue injury in some circumstances.