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前臂瘢痕与软组织缺损的皮瓣修复

The repair of soft tissue defects and scars of the forearm with skin flaps
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摘要 目的应用胸脐皮瓣及股前外侧皮瓣修复外伤后和瘢痕切除后前臂皮肤、软组织缺损创面。方法沿胸脐支设计皮瓣,逆行切取,皮瓣转移修复外伤后前臂皮肤、软组织缺损创面3例;解剖游离以旋股外侧动脉降支为血管蒂的股前外侧皮瓣,移植修复前臂瘢痕切除后创面8例。结果皮瓣全部成活,随访6~15个月,前臂外形满意,皮肤质地柔软,弹性良好。结论胸脐皮瓣及股前外侧皮瓣修复前臂软组织缺损创面,方法可靠,解剖容易,是一种简单、理想的手术方法。 Objective To introduce the application of thoracoumbilical flap and anterolateral thigh flap in the repair of bulky tissue defects and scars of the forearm. Methods Skin flap along thoracoumbilical vascellum was designed and was dissected retrogressively, then the flaps pedicled with thoracoumbilical vascellum were applied to reconstruct bulky tissue defects in the forearm of 3 cases. The anterolateral femoral skin flaps pedicled with quadriceps artery of femur were used to construct scars in the forearm of 8 cases. Results All flaps were survived well, 6-- 15 months follow - up showed the color and cosmetic results were good. Conclusion The application of thoracoumbilical flap and anterolateral thigh flap in the repair of bulky tissue defects and scars of the forearm is simple and can be performed easily.
出处 《中国美容整形外科杂志》 CAS 2008年第4期274-275,共2页 Chinese Journal of Aesthetic and Plastic Surgery
关键词 前臂瘢痕 软组织缺损 皮瓣 Scar in the forearm Soft tissue defect Skin flap
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