中部外侧动脉岛形脚穿孔器片,用于在烧伤后收缩释放后在尾骨中重新表面化区域,使用正常与痕组织相比
Sanjay Kumar Giri1, Santanu Suba1, Ahana Bandyopadhyay1
1Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
概括
中部外侧动脉穿孔器 (MSAP) 板在烧伤收缩释放后有效地重建形穴缺陷. 有痕的MSAP板提供与没有痕的功能相似的功能,尽管审美方面更喜欢没有痕的板.
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.
- 烧毁重建的重建工作
背景情况:
- 中部外侧动脉穿孔器 (MSAP) 是公认的形穴缺陷重建的方法.
- 痕的MSAP片可能适用于重新表面缺陷后烧伤合并释放,具有良好的结果的潜力.
研究的目的:
- 为了评估和比较痕和未痕的MSAP片在尾重建中的功能和美学结果.
- 评估MSAP在经烧后收缩释放后软组织缺陷的管理中MSAP的有效性.
主要方法:
- 这是一项比较研究,从2017年6月到2023年7月,涉及20名患者 (10名有痕的MSAP片组,10名没有痕的MSAP片组).
- 在烧伤后收缩释放后,在尾骨中重建软组织缺陷.
- 评估临床结果,包括并发症,膝关节运动范围和痕美学,使用患者和观察者痕评估量表 (POSAS).
主要成果:
- 有痕的MSAP组的功能结果与没有痕的MSAP组相似.
- 审美结果,特别是外科痕的外观,在没有痕的MSAP组中优越.
- 这两种片类型都显示了可接受的术前和术后晚期并发症率.
结论:
- MSAP 板是燃烧后收缩释放后形穴缺陷的理想重建选择,无论板痕如何.
- 既有痕和没有痕的MSAP片提供有效的软组织重建与最小的捐赠部位发病率.
- 虽然功能结果相似,但没有痕的板提供了更好的审美效果.
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