筋膜皮瓣在修复晚期烧伤瘢痕挛缩畸形中的应用

The Use of Fasciocutaneous Flap for Repairing Late Burn Scar Contracture

作者自1981年以来,应用筋膜皮瓣修复功能部位晚期烧伤瘢痕挛缩畸形48例,共57个皮瓣,最大面积为362cm^2,长宽比例在2.5～5:1之间,其中在瘢痕区取瓣24例次,术后获满意效果。该方法设计灵活,手术操作简单,远较岛状皮瓣和游离皮瓣移植难度小,效果可靠,且有一定的抗感染能力。并对筋膜皮瓣的血供特点、分类,设计原则和手术要点进行了讨论。

Since 1981, 57 fasciocutaneous flaps have been used to treat late burn scar contracture in 48 patients. The area of the largest flap is 362 cm2. The ratio of length to width of these flaps is 2.5-5.0 to 1.0. All 24 flaps taken from burn scar area survived well. The blood supply, classification, designed principle, and advantages of fasciocutaneous flap were also discussed.