皮瓣肌皮瓣肌瓣填塞修复创伤及感染创口39例

目的 采用皮瓣、肌皮瓣、肌瓣转移手术，填塞修复因创伤，褥疮和骨髓炎所致骨缺损死腔和软组织缺损创口。方法选 择肌瓣、岛状皮瓣、岛状肌皮瓣等带蒂组织转移．直接填塞修复缺损或转移肌瓣表面植皮覆盖。结果 29例慢性骨髓炎。4例臀骶部褥疮和6例创伤后组织缺损创口．带蒂组织瓣转移手术填塞修复满意。结论 带蒂组织瓣转移手术．填塞修复创伤及感染创口疗效满意，因不需吻合血管，手术相对简单，临床使用安全。

39 Cases of Infected Wounds Repared by Musculo Cutaneous Flap Plugging

Using musculo cutaneous flap transferation plugs and repares wounds bedsore or the soft tissue defects caused by bone marrow imfammation. Methods: Choosy the transfer of such pedided tissues as muscular flap or muscular cutaneous flap plugs repares the defect directly or covers the defect with tranferation of the muscular cutaneous flap.Result The curative effect is satisfatory to 29 cases,who suffered from chronic osteomyelitis,4 cases of dsore on the tissue related to sacrum. and 6 cases with accidental limb defets. Connclusion It is unnecessary to connect the blood vessels in tranferring the pedicled tissue flap and plugging the wounded limb tissue defects, thus such operation are more safe in clinical practice.