摘要
目的探讨自主设计创面测量膜应用在缺损创面的测量与穿支皮瓣设计的临床观察.方法自2018年2月至2020年2月,对收治的31例四肢软组织缺损应用穿支皮瓣游离移植修复,术中采用自主设计创面测量膜进行创面测量,根据创面精准测量后指导皮瓣设计与切取,门诊定期随访皮瓣状况.结果31例皮瓣全部成活,其中有2例术后发生静脉危象,经手术探查后好转,所有伤口未出现感染,一期愈合.术后随访3~15个月,平均8个月,皮瓣外观满意,无明显臃肿,感觉恢复至S2级21例、S3级10例,供区仅留线状瘢痕.结论利用自主设计创面测量膜可对创面进行精准测量,根据测量创面进行皮瓣设计,减少手术时长,提升手术效率,降低手术风险,临床应用效果满意,有推广应用价值.
Objective To investigate the application of self-designed wound measuring grid in the measurement of wound and the design of perforator flap.Methods From February 2018 to February 2020,31 cases of soft tissue defects of limbs were repaired by free transfer of perforator flap.During the operation,the self-designed membrane with measurement grid was used to measure the wound surface.The flaps were designed and harvested accord・ing to the accurate measurement of the wound.The flaps were reviewed at hospital clinic during follow-up.Results All patients entered 3-15 months of follow-up with an average of 8 mon ths.All 31 flaps survived,of which 2 flaps encountered vascular crisis and were rescued after surgical exploration.There was no infection of flaps and all flaps had stage I healing.The flaps were satisfactory in appearance with the sensation recovery to S2 in 21 cases and S3 in 10 cases.Only linear scars were left on the donor sites.Conclusion The membrane with a measurement grid can accurately measure a wound,and help the design of the flap according to the measured size and profile of the wound.It can reduce the operation time and the risk as well as to improve the operation efficiency.The clinical application is satisfactory.Large scale and multi-centre studies are required to further prove the benefit of the measurement grid.
作者
叶学浪
黄珊
周望高
张振伟
余少校
熊懿
林慧鑫
李东扬
庄加川
YE Xuelang;HUANG Shan;ZHOU Wanggao;ZHANG Zhenwei;YU Shaoxiao;XIONG Yi;LIN Huixin;LI Dongyang;ZHUANG Jiachuan(Department of Orthopaedics,Shenzhen Shajing Hospital Affiliated of Guangzhou Medical University,Shenzhen,Guangdong Province 518104,China)
出处
《中华显微外科杂志》
CSCD
北大核心
2022年第1期46-49,共4页
Chinese Journal of Microsurgery
基金
深圳市宝安区科技创新局科研项目(2020JD341)。
关键词
穿支皮瓣
创面
测量
修复
软组织缺损
Perforator flap
Wound surface,measurement grid
Repair
Soft tissue defect
