上肢多种微型游离皮瓣修复大面积皮肤软组织缺损临床分析

Clinical Analysis of Upper Limb Multiple Micro-free Skin Flaps in Repairing the Extensive Defects of Skin and Soft Tissues

目的探讨微型游离皮瓣修复大面积皮肤软组织缺损的效果。方法选择该院2016年1—8月收治的20例大面积皮肤软组织缺损患者作为该次实验对象,行上肢多种微型游离皮瓣修复,其中游离尺动脉腕上皮支皮瓣有4例,游离腕横纹皮瓣有2例,游离臂外侧皮瓣5例,游离骨间背动脉桡侧支皮瓣6例,游离臂内侧皮瓣有3例。结果所有患者术后均得到有效随访,大多数患者皮瓣游离效果满意,皮瓣质地、颜色与周围皮肤高度一致,全部皮瓣感觉恢复程度不一。因为皮瓣比较臃肿的2例患者,行二期皮瓣修薄。结论上肢多种微型游离皮瓣修复大面积皮肤软组织缺损,临床疗效满意。修复方法应当按照患者实际病情予以合理选择。

Objective To investigate the effect of upper limb multiple micro-free skin flaps in repairing the extensive defects of skin and soft tissues. Methods 20 cases of patients with extensive defects of skin and soft tissues admitted and treated in our hospital from Jan-uary to August 2016 were selected as the research objects and underwent the upper limb multiple micro-free skin flaps, including 4cases with free ulnar artery flap, 2 cases with wrist crease free flap, 5 cases with lateral arm free flap, 6 cases with dorsal interosseous free the radial collateral artery flap, 3 cases with free medial arm flap. Results All the patients were followed up. Most of the patients had satisfactory results. The texture and color of the flaps were highly consistent with the surrounding skin. 2 cases underwent the sec-ondary thinning of skin flap due to swelling skin flap. Conclusion The clinical curative effect of upper limb multiple micro-free skin flaps in repairing the extensive defects of skin and soft tissues is satisfactory, and the repair method should be rationally selected ac-cording to the patients＇ conditions.