摘要
目的 探讨带蒂组织瓣修复火器伤的临床效果。 方法 1992年 5月～ 2 0 0 0年 10月 ,对 2 1例上肢火器伤患者采用带血管神经蒂组织瓣移位进行修复 ,并行临床观察。受伤部位上臂 11例 ,前臂 7例 ,手部 3例 ;创面1.0 cm× 0 .5 cm～ 8.0 cm× 6 .5 cm;受伤时间 30分钟～ 8小时 ,平均 3小时 30分钟。 结果 术后经 3个月～ 2年随访19例患者皮瓣完全成活 ,外观满意 ,功能恢复好。2例坏死 ,经换药植皮后痊愈。 结论 采用带蒂组织瓣修复火器伤 ,可早期闭合创面 ,缩短治疗时间 ,避免二次手术 ,降低了病残率。
Objective To study the clinical result of treating firearm wound with the vessel pedicel tissue flap. Methods From May 1992 to October 2000, 21 cases of firearm wound of upper limbs underwent transplantation with the vessel pedicel tissue flap. Of them, the locations of the wound were upper arm in 11 cases, forearm in 7 cases, hand in 3 cases. The size of wound was 1.0 cm×0.5 cm to 8.0 cm×6.5 cm; the wound course was 3 minutes to 8 hours with an average of 3 hours and 30 minutes. The patients were followed up 3 months to 2 years. Results In 21 cases, the results were excellent in 19 cases and poor in 2 cases. The good rate was 90.5%. Conclusion Treatment of firearm wound with vessel pedicel tissue flap has the good effect.
出处
《中国修复重建外科杂志》
CAS
CSCD
2003年第4期326-327,共2页
Chinese Journal of Reparative and Reconstructive Surgery
