目的：探讨皮瓣在修复重建复杂创面中的应用。方法：自1997年7月至2012年8月，应用游离皮瓣、带血管蒂岛状皮瓣修复20例因肿瘤或外伤形成的复杂性创面，创面有重要组织外露或功能部位，缺损最大约13cm×35cm最小10cm×20cm，切取相应的大小的皮瓣覆盖创面，继发性创面直接缝合或以植断层皮片覆盖。结果：20例患者皮瓣全部成活，修复后的形态自然、功能恢复程度良好，随访1个月到2年余形态自然。结论：对于复杂的创面修复，术前精心设计、针对每个患者的创面的特点，具体问题，具体分析，选择适合的皮瓣可以最大程度地修复创面，形态和功能都能得到很好的满足。%Objective To study the application of skin flap to the complex wound repair. Method Free or island skin flap were used to repair 20 cases with complex wound which resulted from trauma or tumor,and were characterized by the exposure of important tissue or locating in function area. The maxim of the defect area was 13cm×35cm,and the minimum of the area was 10cm×20cm. The skin flap of the same size was cut off to cover the atea,while the secondary defect was cured by direct suture or skin graft. Result All the skin flap of 20 cases survived completely,with natural structure and good function. After 1 month to 2 years of follow-up, it still showed a natural appearance. Conclusion The complex wound can be repaired well both in appearance and function after careful operation-designing and appropriate flap-selecting according to the characteristics of each wound.
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