摘要
目的探讨胸脐皮瓣在四肢软组织缺损创面中的临床效果和方法。方法以腹壁下动脉及其脐旁穿支为营养血管,沿脐与同侧肩胛下角连线方向设计胸脐皮瓣,带蒂或游离转移修复四肢软组织缺损的创面。必要时可联合侧胸皮瓣联合修复创面,提高了皮瓣的修复效果。结果临床应用11例,1例皮瓣出现远端1/3坏死,2例边缘起泡、表皮坏死,其余全部成活。游离移植修复为6例,其余5例为带蒂移植,其中一例侧胸及胸脐联合皮瓣修复下肢创面,临床效果良好。结论胸脐皮瓣血供可靠,转移方便,用途广泛,可用于各种软组织缺损的修复,效果满意。
Objective To explore clinical effect and method of thoracoumbilicus flap to repair soft tissue defects on limbs. Methods The blood supply of the thoraco-umbilical flap came from the inforior epigastric vessel and the periumbilical cutaneous perforating branch of inforior epigastric vessel. To obtain such a thoraco-umbilical flap, a line was drawn from the umbilicus to the inferior angle of the scapula direction on the abdominal donor site. This flap was used to repair the soft tissue defects in the limbs. Results Among 11 cases,10 cases survived,1 cases occurred skin necrosis on the distant 1/3 of the flap. All of the cases were followed up for 3 months to 1 years and achieved satisfactory results. Transplantation of free flap for 6 cases, and 5 cases of pedicled ,. One case is about lateral thoracic and thoracic umbilical flap for repair of lower extremity wound. Conclusion Thoraeo-umbilical flap are suitable for reparing various soft-tissue defects.
出处
《辽宁医学杂志》
2016年第4期9-10,14,F0003,共4页
Medical Journal of Liaoning
关键词
胸脐皮瓣
修复
软组织缺损
Thoraco-umbilical flap
Reparation
Soft-tissue defects
