在外科临床实践中,伴有严重细菌污染或感染的皮肤软组织缺损创面颇为常见。这类创面常延迟愈合,有的甚至不能愈合,当伴有局部血供障碍时,如电击伤刨面、褥疮、放射性溃疡、慢性骨髓炎等,更增加了创面愈合的难度。目前临床常通过带蒂皮瓣移转修复,因皮瓣不仅能覆盖创面,且其本身具有丰富的血供,能为低氧、血运差、多瘢痕的严重污染或感染创面提供机体防御机制的各种成分,如具有吞噬杀菌功能的白细胞、免 In surgical clinical practice, skin and soft tissue defects with severe bacterial contamination or infection are quite common. Such wounds often delay the healing, and some can not even heal, when accompanied by local blood supply disorders, such as electrical injury planing surface, pressure ulcers, chronic osteomyelitis, etc., but also increases the difficulty of wound healing. The current clinical often through the pedicle flap transfer repair, because the flap can not only cover the wound, and its own rich blood supply, for hypoxemia, poor blood circulation, multiple scar severe infection or infected wounds to provide body defense mechanism The various components, such as the phagocytosis of leukocytes, free