摘要
目的探讨Ⅰ期修复四肢电烧伤创面又不损伤其主要动脉的方法。方法采用四肢筋膜蒂逆行皮瓣,皮瓣面积最小为5cm×3cm,最大为18cm×8cm(包括蒂长),筋膜蒂宽为1.5～4cm,长为3～6cm 不等。皮瓣最小长宽比例为1.6:1,最大为4.5:1,皮瓣可旋转180°,移转不呈现“猫耳朵”皱襞。结果临床应用20例36个皮瓣,除个别皮瓣出现散在水泡,轻度肿胀外全获成功。结论经1年以上随访,功能与外形均获得了较满意疗效。
Objective This is to introduce a method for reconstruction of extremities with electri- cal injury.Methods Thirty-six reverse fasciocutaneous pedicle flaps were designed to be used for the re- construction of extremities with electrical injury in 20 patients.The size of the flaps ranged from 5cm× 3cm to 18cm×8cm.The length and width of the pedicle ranged 3～6cm and 1.5～4cm.The ratio of the length to width of the flap ranged from 1.6:1 to 4.5:1.All flaps had been successfully transplanted with 180° rotation.Results All flaps survived,except individual flaps showing mild swelling and disperse blis- ters.Conclusion Satisfactory results both in functional and cosmetic aspects had been achieved with this kind of flap after followed-up for over one year.
