应用穿支蒂筋膜皮瓣修复长期感染癌变四肢创面
投稿时间:2010-09-01    点此下载全文
引用本文:林涧,郑和平,余云兰,吴春,王正理.应用穿支蒂筋膜皮瓣修复长期感染癌变四肢创面[J].医学研究杂志,2010,39(12):58-60
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作者单位
林涧 浙江省台州市博爱医院显微外科 
郑和平 南京军区福州总医院军区骨科研究所、福建医科大学福总临床医学院 
余云兰 浙江省台州市博爱医院显微外科 
吴春 浙江省台州市博爱医院显微外科 
王正理 浙江省台州市博爱医院显微外科 
基金项目:福建省自然科学基金(2009J01183);台州市路桥区科技计划项目(2010A23011)
中文摘要:目的报道穿支蒂筋膜皮瓣修复四肢外伤后长期感染癌变创面的治疗效果。方法根据创面情况行肿块扩大切除,并选择同侧肢体穿支蒂筋膜皮瓣移位修复四肢长期感染不愈癌变缺损创面11例。结果术后皮瓣完全成活,创面Ⅰ期愈合,经3~36个月随访,皮瓣外形与肢体功能恢复满意,未见癌肿复发、扩散。结论对四肢外伤后长期感染不愈癌变的创面应用显微外科手术修复可获得较为满意的疗效。
中文关键词:穿支血管  筋膜皮瓣  慢性感染  癌变  创面
 
Use of Perforator Fasciocutaneous Flaps for the Treatment of Cancer Defects Following Chronic Infection in the Extremities
Abstract:ObjectiveTo report the effect of use of perforator fasciocutaneous flaps for the treatment of cancer defects following chronic infection in the extremities. MethodsFrom October 2005 to December 2009, 11 patients with cancer defects following chronic infection in the extremities were treated in our center. After extended resection of the lesion, the defect was reconstructed with a perforator fasciocutaneous flap harvested from the ipsilateral extremity. ResultsThe duration of follow-up ranged from 3 to 36 months. The appearance of the flap was quite acceptable in all cases. Neither cancer recurrence nor spread was noted in this series. ConclusionPerforator fasciocutaneous flap transfer is a reliable technique for the treatment of cancer defects following chronic infection in the extremities.
keywords:Perforator  Fasciocutaneous flap  Chronic infection  Canceration  Defect
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