摘要
目的:报告腹壁下动脉穿支皮瓣游离移植修复四肢组织缺损临床应用结果。方法:自2006年1月至2012年1月,应用腹壁下动脉穿支皮瓣带蒂移植修复小腿(7例)和前臂(6例)软组织缺损13例,其中男9例,女4例;年龄21~45岁,平均33岁。软组织缺损范围7 cm×17 cm^8 cm×26 cm。外侧支和内侧支穿支皮瓣分别是7例和6例。供区直接缝合。结果:1例皮瓣发生小的皮缘裂开,术后1个月自然愈合,皮瓣全部成活。术后随访1.8~4.0年,平均2.8年,受区外形较好。结论:腹壁下动脉穿支皮瓣游离移植很适宜修复四肢软组织缺损,这种技术安全、可靠,可降低对供区的损伤。
Objective ： To report the clinical application results of free deep inferior epigastric perforator flap in the repair of soft tissue defect. Methods： From January 2006 to January 2012,13 patients with soft tissue defect（7 cases in leg and 6 cases in forearm） underwent reconstruction with a free deep inferior epigastric perforator flap. There were 9 males and 4 females, aged from 21 to 45 years old with an average of 33 years. Soft tissue defect in the extremities were from 7 cm×17 cm to 8 cm×26 cm. The medial branch and lateral brangh flaps were 7 cases and 6 cases respectively. The donor site was closed directly. Resuits：One patient developed small wound dehiscence,which spontaneous healed at one month after surgery. All the flaps had survived completely. Follow-up period ranged from 1.8 to 4.0 years with the mean of 2.8 years postoperatively. Satisfactory clinical results were obtained in 12 cases. A good contour was confirmed at the recipient area. Conclusion：The free deep inferior epigastric perforator flap for the extremities defects of soft tissue is a good option. This technique is safe and reliable, and can decrease the injury of donor site.
出处
《中国骨伤》
CAS
2014年第9期775-777,共3页
China Journal of Orthopaedics and Traumatology
关键词
软组织损伤
穿支皮瓣
腹壁下动脉
Soft tissue injuries
Perforator flaps
Inferior epigastric artery
