带蒂超薄皮瓣的临床应用

CLINICAL APPLICATION OF PEDICLED OVER-THIN SKIN FLAP

应用带蒂超薄皮瓣修复6例烧伤后瘢痕挛缩畸形及1例阴道成形,均获成功。皮瓣长宽比例最大为6:1,最小为3:1。3例Ⅰ期愈合,4例延迟愈合。延尺愈合的皮瓣远端有水泡或瘀斑。结合临床观察,讨论了皮瓣成活的原因,手术的优点等。

Six cases with deformity of cicatricial contracture alter burn and one vaginoplasty were treated by using of pedicled over-thin skin flap. All were survived. The maximal ratio of length and width of skin flap is 6 to 1 and the smallest ratio is 3 to 1. Three cases were primary healing and 4 cases were delay healing. The clinical sign of delay healing shown blister or ecchymosis on distal part of skin flap. According to clinical observation, the reason of skin flap survival and advantagse of this operation were discussed.