带蒂胸脐皮瓣修复肢体各种软组织缺损  

Reparation of various soft-tissue defects by pedicled thoraco-umbilical flap

作　　者：柴勇[1] 钱尼文[1] 方云德[1] 

机构地区：[1]铜陵市人民医院烧伤整形科,244000

出　　处：《安徽医学》2008年第3期241-242,232,共3页Anhui Medical Journal

摘　　要：目的探讨胸脐皮瓣在各种软组织缺损创面修复中的应用。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腹部及侧胸皮瓣,带蒂转移修复腹部、上肢、会阴及下肢软组织缺损创面。必要时可将皮瓣携带的感觉神经与受区皮神经吻合,以利皮瓣感觉的恢复。也可同时切取双侧皮瓣,提高了皮瓣的修复效果。结果临床应用16例,1例皮瓣出现远端1/2坏死,2例边缘起泡、表皮坏死,其余全部成活。吻合神经皮瓣3个月后感觉建立。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 the application of the thoraco - umbilical flap in the reparation of various soft - tissue defects. Methods The blood supply of the thoraeo - umbilical flap came from the inforior epigastrie vessel and the periumbilieal cutaneous perforating branch of inforior epigastrie vessel. To obtain such a thoraeo - 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 de- fects in the abdomine, perineum, lower and upper limbs. Sometimes, the nerves of the flap were arastomosed with the nerves of the soft - tissue defect site and bilater thoraeo - umbilical flaps were used for better results. Results Among 16 cases, 15 eases survived, 1 eases occurred skin necrosis on the distant 1/2 of the flap. All of the eases were fllowed up for 3 month to 14 years and achieved satisfactory results. Conclusion Thoraeo - umbilical flap are suitable for reparing various soft - tissue defects.

关 键 词：胸脐皮瓣 修复 软组织缺损 

分 类 号：R658[医药卫生—外科学]