带蒂皮瓣早期断蒂的临床研究与应用

Clinical Study and Application on Cutting Pedicle in Early Stage of Pedicle Skin Flap

目的 探讨带蒂皮瓣早期断蒂的可行性与临床应用。方法 应用彩色多普勒、皮温计和临床观察方法监测带蒂皮瓣转移血流变化 ,提出带蒂皮瓣早期断蒂的客观指标。结果 14例病人其中断蒂前无并发症 10例 ,分别在术后 6～ 8d断蒂 ;断蒂前有并发症 4例 ,术后 9～ 13d断蒂 ,断蒂后均 10 0 %成活。结论 皮瓣移植 5～

Objective To introduce the clinical observation method of cutting pedicle in early stage of pedicle skin flap. Methods The blood supply of transferred pedicle skin flap was observed with colorful Doppler, skin thermometer and clinical observation and give a suggestion about the indication. Results 10 of 14 patients had no complication before cutting pedicle and pedicles were cut at 6～8d postoperatively. 4 of 14 patients had complications and pedicle was cut at 9～13d. All pedicle were survived. Conclusion It might be possible to cut the pedicle at 5～7d in early stage on skin transplantation.