《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 770-770.

• 临床观察 • 上一篇    下一篇

高寒区创伤足跟部软组织缺损及骨髓炎的修复

吉善和1; 沈开金1; 邱奕军2; 赵志明2; 张岩峰2; 王玉召2   

  1. 1.兰州军区乌鲁木齐总医院急救中心 新疆乌鲁木齐市 830000;2.新疆军区第十五医院骨科 新疆乌鲁木齐市 833000
  • 收稿日期:2005-06-10 出版日期:2005-09-25 发布日期:2005-09-25

Repair of the soft tissue defects with or without osteomyelitis at foot with skin flaps in cold environment

JI Shan-he, SHEN Kai-jing, QIU Yi-jun, et al   

  1. Department of Emergency, Urumuqi General Hospital, Lanzhou Command of PLA, Urumuqi 830000,Xinjiang, China
  • Received:2005-06-10 Published:2005-09-25 Online:2005-09-25

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摘要： 目的探讨多种皮瓣对修复高寒环境下创伤所致足跟部软组织缺损的疗效。方法对高寒环境创伤、冻伤足踝、跟部大面积组织缺损患者35例(其中11例伴有骨髓炎形成),伤肢经早期复温处理,并根据各种缺损创面,应用下肢的皮瓣转移。结果采用皮瓣修复术后伤口Ⅰ期愈合者31例,4例皮瓣远端皮缘部分坏死;创伤区愈合后皮瓣质地优良,外形与功能满意。结论高寒区创伤后伤肢早期及时复温,采用多种皮瓣修复足部软组织缺损,有利于控制感染创面及骨髓炎。

关键词: 高寒环境, 足, 皮瓣移植, 软组织缺损, 修复

Abstract: ObjectiveTo explore the efficacy of several skin flaps in treating of the soft tissue defect with or without osteomyelitis at foot in cold environment. MethodsThe damaged foot should be re-warmed immediately. Several kinds of skin flaps were transplanted for 35 cases of soft tissue defect at foot in particularly, among them, 11 cases were with osteomyelitis and bone exposuring. ResultsThere were 31 cases survived by the first intention, 4 case presented partial necroses and healing by dress changing at the second intention. The appearance and function of damaged feet recovered well.ConclusionImmediate re-warming and skin flaps transplant can repair the acute or old soft tissue defect with osteomyelitis in cold environment.

Key words: cold environment, foot, skin flaps transplant, soft tissue defect, repair