摘要
目的探讨腹壁下动脉穿支皮瓣（deep inferior epigastric perforator flap，DIEP皮瓣）切取方式的改进，扩大DIEP皮瓣的临床应用范围。方法采用双腹壁下血管蒂仅带肌袖的DIEP皮瓣（并可通过筋膜蒂携带髂骨或肋骨）修复四肢大面积软组织缺损，其中前臂缺损5例，手腕部缺损6例，创面面积为10．0cm×5．0cm～45．0cm×20．0cm，均为急诊修复。结果术后11例皮瓣中全部存活10例，大部分存活1例。随访时间3～61个月，皮瓣愈合良好，手功能恢复满意。所有供区均未发生腹壁疝。结论改良DIEP皮瓣是修复大面积皮肤缺损的首选皮瓣之一。
Objective To improve the techniques of harvesting the deep inferior epigastrie perforator （DIEP） flap and broaden the clinical application of the flap. Methods A modified DIEP flap （or DIEP esteofasciocutaneous flap with iliac or rib） involving perforating vessels of the bilateral deep inferior epigastric vasculature with a muscle cuff was used to cover large defects of the extremities. There were 5 eases of defects of the forearm and 6 cases with defects of the hand and wrist. The areas of the defects were 10.0 cm × 5.0 cm to 45.0 cm× 20.0 cm. All flap transfers were done in the emergent setting. Results 10 of the 11 flaps survived completely while one flap survived with partial necrosis. Follow up ranged from 3 to 61 months. The flaps healed well. Function of the hand was satisfactory. There was no abdominal wall hernia at the donor sites. Conclusion The modified DIEP flap involving bilateral pedieles is the procedure of option for reconstruction of large defects.
出处
《中华手外科杂志》
CSCD
北大核心
2009年第6期358-360,共3页
Chinese Journal of Hand Surgery
关键词
外科皮瓣
创伤和损伤
修复外科手术
Surgical flaps
Wounds and injuries
Reconstructive surgical procedures
