电邮这篇文章 近肩胛皮瓣在组织扩张器预制作后的儿童小腿大面积软组织缺损的整形手术（初步报告）
- 作者: Filippova O.V.1, Govorov A.V.1, Proshchenko Y.N.1, Afonichev K.A.1, Galkina N.S.1
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隶属关系:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- 期: 卷 8, 编号 2 (2020)
- 页面: 197-206
- 栏目: Exchange of experience
- ##submission.dateSubmitted##: 19.03.2020
- ##submission.dateAccepted##: 07.05.2020
- ##submission.datePublished##: 01.07.2020
- URL: https://journals.eco-vector.com/turner/article/view/25799
- DOI: https://doi.org/10.17816/PTORS25799
- ID: 25799
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详细
论证：儿童广泛的深部软组织缺陷是组织自体移植显微外科重建的指示。在显微外科手术中进行不同节段和不同面积的皮瓣移植前的预制是重建外科的一个很有前途的方向。
目的是评估在使用组织扩张器进行预制后，用组织复合体对小腿大面积软组织缺损进行成形术的直接结果，以及在不同的外科治疗选择中供体区域的状态。
材料与方法。6例患者年龄为13±2.3岁接受了下肢及足部深度瘢痕畸形的手术治疗。在整形手术中，我们使用了近肩胛皮瓣。2例患者在皮瓣前使用了720毫升的组织扩张器。填充扩张器后，进行了第二阶段的手术治疗：切除扩张器，将肩胛骨周围动脉的皮瓣隔离，将其移植到小腿软组织缺损处，并植入微血管吻合。在供体创面上逐层缝合。用温哥华量表评估供区瘢痕组织的质量。
结果。由于在用扩张器预制作后使用了一组移位的组织，所以在手术治疗的一个阶段，在供区使用美容缝合线对下肢广泛的软组织缺损进行整形术。术后无并发症发生。
在6个月后的检查中，没有使用预先制作的皮瓣的病人抱怨在供区移动时的外观缺陷和不适。
在温哥华量表上对瘢痕组织质量的评价显示，皮瓣预制术后患者的瘢痕接近最优（两个患者的积分总和为2）。2例未做皮瓣的患者的总评分为7分，2例为9分，说明术后瘢痕的美容参数不理想。
结论。显微外科移植前使用组织扩张器预制组织复合物，可获得大量组织用于大面积缺损修复，降低术后发生营养并发症的风险，为关闭供区创造最佳条件。
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作者简介
Olga Filippova
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
编辑信件的主要联系方式.
Email: olgafil-@mail.ru
ORCID iD: 0000-0002-1002-0959
SPIN 代码: 8055-4840
http://www.rosturner.ru/kl7.htm
MD, PhD, D.Sc., leading research associate of the Department of Trauma Sequelae and Rheumatoid Arthritis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Anton Govorov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: agovorov@yandex.ru
ORCID iD: 0000-0002-7015-5580
MD, PhD, Associate Professor of the Department of Plastic and Reconstructive Surgery
俄罗斯联邦, 2, Litovskay street, Saint-Peterburg, 194100Yaroslav Proshchenko
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: yar-2011@list.ru
ORCID iD: 0000-0002-3328-2070
MD, PhD, senior research associate of the Department of Trauma Sequelae and Rheumatoid Arthritis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Konstantin Afonichev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: afonichev@list.ru
ORCID iD: 0000-0002-6460-2567
MD, PhD, D.Sc., Head of the Department of Trauma Sequelae and Rheumatoid Arthritis
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Natalia Galkina
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: galkinadoc@gmail.com
ORCID iD: 0000-0001-9201-7827
MD, orthopedic surgeon of the Department of Reconstructive Microsurgery and Hand Surgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
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