前臂浅静脉血管移植治疗四肢皮肤软组织不完全撕脱伤体会

Effect of vascular transplantation on treating incomplete skin and soft tissue injure in the limbs

目的探讨血管移植的方法治疗不完全皮肤软组织撕脱伤的临床应用。方法对我院近3年来临床治疗22例有适应症的不完全皮肤软组织撕脱伤行清创后移植血管原位回植,观察皮瓣近期成活及随访患肢术后3个月功能恢复情况。结果血管移植病例组中15例完全存活,7例创缘0.5~1.5 cm不规则坏死,无大面积坏死情况,术后肢体功能恢复满意。结论血管移植法可增加不完全皮肤软组织撕脱的原位回植机会,且手术简单。

Objective To report the experience of vascular transplantation for treating incomplete skin tissue injury. Methods Twenty-two cases with incomplete avulsion injury of extensive skin were admitted in our hospital and treated by soft tissue grafts in situ implant and vascular transplantation by using superficial veins of the forearm after debridement. The clinical experience and effect were recorded and reported. All cases were tracked over an average follow-up of 3 months. Results All 22 cases got recovery. Of them, the skin flaps after vascular transplantation completely survived in 15 cases, and 7 cases had the irregular necrosis on the margin of 0.5-1.5 cm, without a large area of necrosis. Conclusion Vascular grafting can increase the survival chance of skin flap, implant in situ and the surgical procedure is simple.