| 韦卫甲,蔡明,廖海浪.游离修薄股前外侧血流桥接穿支皮瓣修复四肢 GustiloⅢC型损伤 34例[J].安徽医药,2020,24(6):1206-1208. |
| 游离修薄股前外侧血流桥接穿支皮瓣修复四肢 GustiloⅢC型损伤 34例 |
| 34 cases of repairing Gustilo Ⅲ C injury of extremities with free thinned anterolateral femoral blood flow bridging perforator flap |
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| DOI：10.3969/j.issn.1009?6469.2020.06.037 |
| 中文关键词: 骨折，开放性 /外科学 四肢 游离组织瓣 病人满意度 股前外侧 Flow?through 肌肉嵌合穿支皮瓣 肢体功能 骨折愈合时间 |
| 英文关键词: Fractures,open/surgery Extremities Free tissue flaps Patient satisfaction Flow?through anterolateral femur Muscular chimeric perforator flaps Limb function Fracture healing time |
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| 中文摘要: |
| 目的探讨游离修薄股前外侧血流桥接穿支皮瓣( Flow?through+肌肉嵌合穿支皮瓣)修复四肢 GustiloⅢC型损伤的效果。方法选取来宾市人民医院四肢 GustiloⅢC型损伤病人 34例( 2015年 1月至 2018年 6月)，采取游离修薄股前外侧 Flow? through+肌肉嵌合穿支皮瓣修复治疗。统计术后恢复情况(切口愈合时间、住院时间、骨折愈合时间)、术前及术后 6个月肢体功能评分、治疗优良率、治疗满意度、并发症发生率。结果 34例切口愈合时间( 11.22±1.69)d、住院时间( 10.09±1.26)d、骨折愈合时间( 3.08±0.35)月；治疗优良率为 94.12%(32/34)；治疗满意度为 94.12%(32/34)；并发症发生率为 8.82%(3/34)。结论游离修薄股前外侧 Flow?through+肌肉嵌合穿支皮瓣修复四肢 GustiloⅢC型损伤，切口及骨折愈合时间较短，可有效改善病人肢体功能，治疗优良率及满意度较高，且具有安全性。 |
| 英文摘要: |
| Objective To explore the effect of free thinning anterolateral thigh?lateral Flow?through + muscle chimera perforatorflaps to repair Gustilo Ⅲ C injury of extremities.Methods A total of 34 patients with Gustilo Ⅲ C type injuries in the limbs of Laibin People’s Hospital from January 2015 to June 2018 were selected，and all were treated with free thinning anterolateral thigh?lateral Flow?hrough + muscle chisel perforator flap.The postoperative recovery including wound healing time，hospitalization time and fracture healing time，limb function score before and 6 months after operation，excellent rate of treatment，satisfaction of treat? ment and incidence of complications were recorded.Results The incision healing time was(11.22±1.69) d，hospital stay was(10.09±1.26)d，fracture healing time was(3.08±0.35)month，the excellent and good rate of treatment was 94.12%(32/34)，the satisfaction rate of treatment was 94.12%(32/34)，and the complication rate was 8.82%(3/34)in 34 cases.Conclusion Free re? pair of thin anterolateral femoral Flow?through+muscular chimeric perforator flaps for repairing Gustilo Ⅲ C injury of limbs hasshorter healing time of incision and fracture，which can effectively improve the limb function of patients with a high excellent rate， satisfaction of treatment and high safety. |
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