论文部分内容阅读
目的:探讨应用肩胛旁皮瓣修复腋部深度烧伤的可能性和方法。方法:从2001年,我们对入院的5例腋部小面积深度烧伤创面应用肩胛旁岛状皮瓣进行了修复。结果:皮瓣均全部成活,经过4~16个月的随诊,皮瓣弹性良好,局部未见明显瘢痕出现,肩关节、患肢运动功能恢复良好。结论:肩胛旁血管皮瓣由恒定的知名血管供血,应用该皮瓣能够较理想地一次修复腋部创面,且避免腋部植皮对创面要求较高,固定包扎困难,后期瘢痕挛缩严重等问题。可能对伴有血管神经损伤或外露的深度烧伤更为合适。不足之处是皮瓣较厚,皮瓣供区往往需要植皮修复。
Objective: To explore the possibility and method of applying scapular flaps to repair deep axillary burns. METHODS: From 2001, we performed a repair of 5 cases of axillary small area deep burn wounds treated with scapular island flap. Results: All the flaps survived. After 4 to 16 months of follow-up, the flaps showed good elasticity and no obvious scar appeared locally. The motion of the shoulder joint and affected limb recovered well. CONCLUSION: The flap of the saphenous side is invariably supplied by a well-known blood vessel. Using the flap, it can repair the axillary wound more ideally and avoid the problems of high requirement for the wound surface, difficulty of fixed bandage and severe contracture of scar in the late stage. May be associated with vascular nerve injury or exposure to deep burn more appropriate. The downside is that the flap is thicker and the flap donor area often needs skin graft repair.