深度电烧伤创面的皮瓣修复

Surgical flap:an effective method for severe electrical burn wound repair

认识电烧伤已有近300年历史。电烧伤是一种常见病,发病率高、病理复杂、治疗难度大。深度电烧伤创面以皮瓣修复为主,包括网状血管皮瓣、链状血管皮瓣、穿支血管皮瓣、轴型血管皮瓣,根据供受区情况来选择不同的皮瓣种类及带蒂移植或游离移植修复方式。对电烧伤根据损伤部位、损伤程度进行相应分度,进而选择适宜的手术时机与修复方法。热量导致电烧伤早期是干净的创面,早期彻底清创、及时重建血运与皮瓣有效覆盖是关键,特别是游离皮瓣移植可更好地进行功能与外形重建。

Electrical burns have been recognised for nearly 300 years.Electrical burns are a common condition with high morbidity,complex pathology and difficult treatment.Deep electrical burn wounds are mainly repaired with different types of flaps,including reticular vascular flaps,chain vascular flaps,vascular perforator flaps and axial-pattern flap,with pedicled or free graft repairing options depending on the donor-recipient area.Electrical burns are graded according to the location and degree of injury,then the appropriate timing and repair method is be chosen.Electrical burns are clean wounds in the early stages because of the thermal damage,and early thorough debridement,timely re-establishment of blood flow and effective coverage by flaps are key points.Especially they can obtain better functional and appearance reconstructions with repairing by free flaps.