下面和部的烧伤后重建:基于回顾性研究的建议治疗算法
Shuai Qiang1, Chen Tan, Feifei Chu
1From the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Forth Military Medical University, Xi'an, Shaanxi, China.
Annals of plastic surgery
|October 24, 2025
概括
预扩展的内部乳腺动脉穿孔器 (IMAP) 和横向宫动脉穿孔器 (TCAP) 片为头部和部烧伤重建提供100%的存活率. 这些片显著改善了部的移动性和宫面部形的美学结果.
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:
- 头部和部的烧伤会导致严重的功能和美学形.
- 这些复杂缺陷的重建仍然具有挑战性.
- 优化功能和美学结果至关重要.
研究的目的:
- 评估预扩展IMAP和TCAP片的临床疗效和安全性.
- 评估深度烧伤后宫面部重建的结果.
主要方法:
- 在2020-2023年期间对36名患者 (42个片) 进行了回顾性审查.
- 将其分为I型 (下) 和II型 (宫) 变形.
- 两阶段的方法:软组织扩张,然后进行重建.
主要成果:
- 100%的片存活率,没有堵塞或亡.
- 显著改善部的移动性 (延伸>110°).
- 83.3%的良好和16.7%的可接受的审美结果;高的患者满意度.
结论:
- 预扩展的IMAP和TCAP板可靠地用于烧伤后的宫面部重建.
- 基于缺陷位置的定制策略可以提高临床结果.
- 建议进行进一步的多中心研究以验证研究结果.
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