摘要
骨外露创面的修复一直都是临床治疗中的巨大难题,目前治疗此类创面的主流方案是皮瓣移植,但该术式手术难度较高,需要临床医生具备熟练的显微操作技术。而且,如何减轻供瓣区的创伤、如何修复供瓣区遗留的创面同样对临床医生造成了困扰。骨膜瓣因具备血运丰富、抗感染能力强、切取容易、并发症少等优点,被广泛应用于颌面外科、骨科对骨缺损的修复重建。随着临床对骨膜瓣研究的深入,近年来许多成功利用骨膜瓣修复创伤性骨外露创面的案例被报道,进一步证实了骨膜瓣在临床上的应用潜力。然而目前对骨膜瓣修复创伤性骨外露创面的临床疗效仍需进一步研究。因此,本文对骨膜瓣解剖结构、治疗骨外露创面作用机制、临床应用情况、优缺点及面临问题进行综述,以期为临床应用提供参考,进一步推动骨膜瓣在创伤性骨外露创面修复领域的应用。
The repair of bone exposed wounds has always been a huge problem in clinical treatment.At present,the mainstream solution for the treatment of skin such wounds is flap transplantation.However,this surgical procedure is difficult and requires clinicians to have skilled micromanipulation techniques.Additionally,how to reducing trauma to the donor valve area and effectively repairing the remaining wounds in this area also pose difficulties for doctors.Periosteal flap has the advantages of rich blood supply,strong antiinfection ability,easy cutting and less complications,it is widely used in the repair and reconstruction of bone defects in maxillofacial surgery and orthopedics.With the deepening of clinical research on periosteal flap,many cases of successful use of periosteal flap to repair traumatic bone exposed wounds have been reported in recent years,further confirming the potential of periosteal flap in clinical application.However,the clinical efficacy of periosteal flap in repairing traumatic bone exposed wounds still needs further study.Therefore,this article reviewed the anatomical structure of periosteal flap,the mechanism of action,clinical application,advantages and disadvantages,and problems faced in the treatment of bone exposed wounds,in order to provide reference for clinical application and further promote the application of periosteal flap in the field of traumatic bone exposed wound repair.
作者
黄巾帼
茹能
HUANG Jinguo;RU Neng(Medical College of China Three Gorges University,Yichang 443000,China;不详)
出处
《中外医学研究》
2024年第4期177-180,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
骨膜瓣
软组织缺损
骨外露创面
创面修复
Periosteal flap
Soft tissue defect
Bone exposure wounds
Wound repair
