【摘要】 目的 :探讨应用带蒂组织瓣治疗胫骨中上段骨髓炎骨外露的疗效。方法 :根据不同组织缺损或损伤情况 ,设计 3种带蒂组织瓣修复与重建 2 4例。结果 :本组随访 1～ 4年 ,平均 2 .3年 ,本组 2 4例中 2 1例组织瓣Ⅰ期愈合 ,3例Ⅱ期愈合 ,其中 2例术后血肿 ,1例术后伤口不愈合并有死骨形成 ,经死骨摘除清创后愈合。结论 :选择合适的带蒂组织瓣转移是治疗胫骨中上段骨髓炎骨外露的关键。更多还原

【Abstract】 Objective: To study the clinic effect of the pedicle tissue flap repairing the upper tibia osteomyelitis with tissue defect. Method: From 1998 to 2003, 24 patient with upper tibia osteomyelitis complicating tissue defect were studied according to the varied tissue defects and its injuried degree, 3 types of pedicle tissue flaps were designed and introduced. Results: All flaps survived, 21 case were primary healing. 3 case delayed healing, the complication included local hematoma in 2 cases, wound surface was not healed and dead bone occurred in the local region in one case, af ter sequestrectomy the wound healed. Conclusion: Pedicle tissue flap Is a an easy, safe and reliable method for repairing the upper tibia osteomyelitis with tissue defect.更多还原