摘要
目的探讨上肢大面积皮肤缺损合并感染的临床特点,治疗方法及预后等相关因素。方法对6例上肢大面积皮肤缺损合并感染的患者,采用股前外侧皮瓣游离移植3例,背阔肌皮瓣转位1例,预制骨间背动脉逆行岛状皮瓣2例(其中1例同时用腹股沟皮瓣)。结果 6例皮瓣全部存活,感染得到有效的控制。结论对于上肢大面积皮肤缺损合并感染的患者,在控制感染的基础上,用皮瓣移植(或移位)覆盖创面是最有效的治疗方法。
Objective To discuss the clinical features, treatment and prognosis of upper extremity infections with large-size soft tissue defects. Methods 6 cases of upper extremity infections with large-size soft-tissue defects were treated from March 1999 to October 2003. After meticulous control of the infection and careful debridement, various flaps were transferred to cover the defects. There were 3 free anterolateral thigh flaps, 1 lattissimus dorsi myocutaneous flap, and 2 pretabricated posterior interosseous artery flaps （in Ⅰ of the 2 cases, an additional groin flap was necessary） , Results All flaps survived. Infection of the wound subsided. Good coverage of the detects was obtained. Conclusion Flap transfer is an effective method to treat upper extremity infections with large-size soft tissue defects.
出处
《中华手外科杂志》
CSCD
北大核心
2005年第6期348-349,共2页
Chinese Journal of Hand Surgery
关键词
上肢
皮肤缺损
感染
显微外科
Extremities
Defect, soft tissue
Infection
Microsurgery
