带蒂皮瓣修复皮肤软组织缺损的临床效果分析.docVIP

精品论文 参考文献 带蒂皮瓣修复皮肤软组织缺损的临床效果分析 张峰 赵庆飞 孔德博 张涛（山东省菏泽市第二人民医院手足外科 274000） 　　【摘要】目的探讨带蒂皮瓣修复小腿皮肤软组织缺损的临床效果。方法选取70例小腿皮肤软组织缺损骨外露患者为研究对象，对小腿皮肤软组织缺损患者的创面进行带蒂皮瓣修复，观察带蒂皮瓣是否成活且血运良好。结果经选用适宜的手术方法进行对患者创面进行带蒂皮瓣修复，发现带蒂皮瓣全部成活且血运良好。术后4～24个月对患者进行随访发现，除1例患者的创面有少量积液渗出，经换药处理后已治愈外，其余患者的带蒂皮瓣全成活良好，且血运充足，未发生深部感染，未影响患者小腿部位的外表美观和功能。结论在临床治疗中，根据患者的不同病情及皮肤软组织缺损条件，尽量遵循皮瓣转移距离短、操作方便、局部损伤小、且不影响小腿功能和外形美观等原则，选用适宜手术方法进行带蒂皮瓣修复创面，达到完美的临床治疗效果。 　　【关键词】带蒂皮瓣，皮肤软组织缺损，小腿部位；临床效果【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）11-0031-02Abstract Objective To investigate the clinical effects of repairing skin and soft tissue defects of leg with pedicled flaps, and provide the basis for clinicaltreatment. Methods From July 2010 to February 2015, 70cases with skin and soft tissue defects with bone exposed in leg were treated in our study.Appropriate surgical methods were adopted to repairing skin and soft tissue defects of leg with pedicled flaps. The pedicled flaps were survival and bloodsupply well should be observed. Results After adopting appropriate surgical methods to repairing skin and soft tissue defects of leg with pedicled flaps, all theflaps were survived and blood supply well. In 5 cases, necrosis appeared on the distal edges of flaps and then healed up gradually through dressing change orgrafted skin. Satisfactory results of appearance and functions were achieved after follow- up of 4 months to 24 months, except for only 1 patient had a smallamount of fluid oozing wound, but also being cured after right medication treatment. Conclusions In clinical practice, the selection of the pedicled flaps andfitable operative method should better depend on the diference of the skin and soft lissue defects condition in each patient. Try to follow the principle offlap short distance, easy operation, small local damage and no effecting for the function and appearance of leg.That is, all measures are taken to achieve theperfect clinical effect. 　　随着社会的快速发展，各种因工厂意外、交通事故、碰撞等造成的所致小腿机械伤在骨科极为常见，创伤后小腿皮肤软组织缺损易导致骨、关节及肌腱外露，且伤情复杂，在骨科临床上