表面环曲动脉穿孔片用于肥胖患者的破坏性手部伤害
Nirbhay S Jain1, Elijah Bingham, Mytien Goldberg
1From the Division of Plastic Surgery, University of California Los Angeles; and David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.
Annals of plastic surgery
|August 25, 2023
概括
表面环性阴动脉穿孔器 (SCIP) 片为重建爆炸受伤的手提供了可行的解决方案,即使是在肥胖患者中. 这种方法改善了cosmesis,并促进了高回归工作与最小的修订.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 创伤外科 手术 创伤外科
背景情况:
- 手部的爆炸伤害需要软组织和皮肤的覆盖.
- 肥胖症对传统的自由重建提出了挑战,因为其体积庞大.
- 对于功能性手部覆盖,需要替代的重建选择.
研究的目的:
- 为了评估表面环阴动脉穿孔器 (SCIP) 片在爆炸伤害中手部重建的疗效.
- 为了评估功能结果,Cosmesis,并在SCIP重建后恢复工作.
- 在上肢重建中,将SCIP与其他穿孔进行比较.
主要方法:
- 一系列7名因爆炸引起的手部受伤的患者接受了SCIP片的重建.
- 用一位单一的治疗外科医生使用既定技术收获了片.
- 对患者进行了至少6个月的随访,记录了术前和术后的特征.
主要成果:
- 该研究包括7名年龄在16-58岁之间的患者,其体重指数范围广泛 (19-48公斤/米2).
- 超过一半的患者的BMI>30 kg/m2;所有捐赠部位主要是封闭的.
- 五名患者恢复了受伤前的工作,而3名患者通过神经化片获得了保护性感觉.
结论:
- 在爆炸伤害后,SCIP是用于手部重建的多功能选择.
- 它提供了良好的功能结果和与其他穿孔板相比,改善了外观.
- 该SCIP片促进高回归工作与低率的修复手术.
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