下肢严重创伤复合组织缺损的急诊修复与重建的经验总结

The experience in emergent repair and restoration of the composite tissue defects after the severe trauma of the lower limbs

目的 探讨严重下肢创伤后复合组织缺损修复与重建的有效方法。 方法 将下肢创伤后皮肤、软组织大面积缺损或合并骨、肌腱、血管缺损 ,足部缺血或无血的损伤称为“严重创伤”。根据不同组织缺损或损伤情况 ,设计 5种方法进行修复与重建 16 4例。结果 随访 5～ 10年 ,无 1例截肢 ,其优良率为 96 .3%。结论 5种修复方法基本能满足严重创伤后各种损伤组织的修复与重建 ,能保存肢体。

Objective To explore the available methods in repairing and restoring the composite tissue defects after trauma of the lower extremities Methods One hundred and sixty four cases were studied in this article,each has a large area of skin defect and soft tissue defect,or combined with other tissue defects such as bone,muscle tendon,blood vessel,while blood supply to the foot of the injuried limb in all the cases was deficiency of bloodless which we called'sever trauma of the lower limb' According to the varied tissue defects and its injuried degree,five operating procedures were designed and introduced Result None of the limbs was severed,a 5～10 year follow up found a good result in 96 3% in all the cases Conclusion The five surgical means mentioned above were satisfied in repairing and restoring varied tissue defects following severe trauma of the lower limbs,and the injuried limbs may be saved