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目的观察胸脐皮瓣早期修复深度烧伤创面的临床应用效果。方法笔者应用胸脐皮瓣(分别采用带蒂转移、岛状转移、游离移植以及与多种皮瓣联合转移的方式)修复39例深度烧伤患者创面,观察皮瓣的成活情况、色泽、弹性,有无瘢痕挛缩导致的功能障碍及供瓣区愈合情况。结果创面彻底清创后未发生明显感染。胸脐皮瓣面积最大为55 cm×27 cm,最远达到同侧腋中线,且皮瓣可跨越腹中线,最远达对侧10 cm,皮瓣全部成活。33例患者随访1-46个月,皮瓣色泽及弹性良好,无瘢痕挛缩导致的功能障碍,供瓣区部位隐蔽,无明显瘢痕形成。结论胸脐皮瓣根据创面大小及部位采用不同的转移方式,是早期修复深度烧伤创面较理想的方法。
Objective To observe the clinical application of thoracic and umbilicus flaps for early repair of deep burn wounds. Methods The thoracic-umbilicus flaps were used to repair the wounds of 39 patients with deep burn. Thoracic-umbilicus flaps were used to repair the wounds. The flap’s survival, color, elasticity, Whether there is scar contracture caused by dysfunction and for the flap area healing. The results of complete wound debridement after no significant infection. Thoracic skin flap area of 55 cm × 27 cm maximum, reaching the ipsilateral axillary line, and the flap can cross the midline, up to the opposite side of 10 cm, flap all survived. Thirty-three patients were followed up for 1-46 months. The flaps had good color and elasticity, no dysfunction caused by scar contracture, and the flap area was hidden without obvious scar formation. Conclusions Thoracic-umbilicus flap is a better method for early repair of deep-burn wounds according to the size and location of wounds.