火器性软组织缺损的显微外科修复

Microsurgical repair of soft tissue defects in the firearm wound

目的 总结火器性软组织缺损的显微外科修复的经验和体会 ,探讨各部位缺损的修复方法 ,提高修复效果。 方法 根据软组织缺损部位、面积或特殊需要 ,采用足背皮瓣、背阔肌皮瓣、胸脐皮瓣、前臂皮瓣、小腿外侧皮瓣、阔筋膜张肌皮瓣或复合组织皮瓣移植进行修复 136例因火器致软组织缺损。 结果 136例软组织缺损全部得到修复并获良好效果。 结论 选择显微外科方法修复火器性软组织缺损可达到修复和功能重建兼得的效果。

Objective To summarize the experience of microsurgical repair of soft tissue defects in 136 cases with firearm wound,to probe into repairing defect methods in different parts and to improve repairing results Methods According to the location,area of soft tissue defects or special needs,dorsalis pedis flap,latissimus dorsi flap,thoracoumbilical flap,forearm flap,lateral leg flap,tensor fascia lata flap or compound tissue flap were used to repair 136 cases with soft tissue defects in the firearm wound Results All 136 cases with soft tissue defects were repaired successfully Conclusions Microsurgical technique is a good method to repair soft tissue defects and reconstruct function in the firearm wound