56例皮片、皮瓣移植坏死原因分析

发布时间：2018-04-11 14:46

本文选题：皮片移植 + 外科皮瓣　；参考：《吉林大学》2015年硕士论文

【摘要】：目的：分析皮片、皮瓣坏死的原因，总结经验，提高皮片移植、皮瓣转移修复术成功率。方法：回顾性分析2005年12月至2014年12月发生皮片、皮瓣坏死病例共56例，其中皮片移植术后坏死9例，皮瓣术后坏死（包含部分坏死和全部坏死）47例，根据术前评估患者、手术时机选择、手术方式选择、皮片的分类、皮瓣的分类、操作方法、术中见患者个体是否有差异以及术后处理等方面进行分析研究。结果：皮片移植坏死原因中，，皮片选择不当5例，皮片移植方法不当2例，术后处理不当2例；皮瓣坏死原因中，手术时机选择不当7例，皮瓣设计不合理15例，操作失误18例，术后处理不当7例。结论：术前对病情的准确评估，手术时机的准确判断，手术方式的合理选择，术中精细操作及良好的术后处理，是皮片移植、皮瓣手术成功的关键。
[Abstract]:Objective:The causes of skin graft and flap necrosis were analyzed, and the experience was summarized to improve the success rate of skin graft and flap repair.Methods:From December 2005 to December 2014, 56 cases of skin flap necrosis were analyzed retrospectively, including 9 cases of necrosis after skin grafting, 47 cases of necrosis after flap operation (including partial necrosis and total necrosis).The choice of operation timing, operation mode, classification of skin graft, classification of skin flap, method of operation, whether there were differences in the patients during operation and the treatment after operation were analyzed and studied.Results:7 cases were improperly treated after operation.Conclusion:The key to the success of the flap operation is the accurate evaluation of the condition before operation, the accurate judgment of the operation time, the reasonable choice of the operation method, the fine operation during the operation and the good treatment after the operation.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R622

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