摘要
目的选择合适的皮瓣,在适当的时机,修复复合伤及组织缺损。方法笔者通过术前DSA造影的辅助手段选择了9种不同方式的皮瓣移植,修复了54例下肢不同部位、不同面积的软组织缺损。结果54例皮瓣手术,其皮瓣切取成功率100%,远期成活率96.3%。2例失败病例都属足踝上“严重创伤”濒临截肢的病人,DSA造影已显示主干血管均损伤,末梢仍有微弱血运,行健肢平行桥式胫后动脉逆行岛状皮瓣移植,皮瓣成活,但患足坏死致“无效皮瓣移植”。结论对于“严重创伤”,皮瓣移植的最好时机是在坏死界线刚清楚,感染还未发生时进行。DSA造影选择皮瓣供区比以往凭经验和超声多普勒探测更科学、更直观。
Objective Selecting suitable flap , on suitable opportunity , to repair compound wound and organization . Methods The supplementary means by way of DSA's radiography before operation. the author had selected flap of 9 kinds of different methods to transplant , they had repaired the 54 examples different positions of lower limbs and the soft tissue of different areas . Results Taking flap's success rate was 100%, at a specified future date survival rate was 96.3%. 2 defeat cases belongs on the sufficient ankle patient that ' serious wound ' bordered on the amputation , DSA's radiography had shown the trunk blood vessel all to be harmed , and the tip still had faint blood ,to use healthy limb parallel bridge type island flap transplanting , flap survives , but tips suffer from sufficient necrosis sends ' invalid flap transplants '. Conclusion The author knows from experience as for ' serious wound ' , and the best opportunity that flap transplants is clear just in the necrosis boundary line , and infects being in progress when still not occurring . DSA's radiography selects the flap area to lean on experience and ultrasound detection more science and more directly perceived than before .
出处
《江西医药》
CAS
2005年第2期67-68,共2页
Jiangxi Medical Journal
