应用枕动脉跨区供血头皮瓣修复头皮肿瘤术后大面积复杂头皮缺损  

Reconstruction of large and complex defects secondary to scalp tumor resection by reverse flow axial flap nourished by the artery acrossing area supply

作　　者：李荷欢[1] 贺佳妮[1] 韩思源[1] 唐明睿[1] 刘晓颖[1] 

机构地区：[1]中国医科大学附属第一医院整形外科,辽宁沈阳110001

出　　处：《中国美容整形外科杂志》2011年第3期142-144,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨头皮肿瘤切除术后大面积、复杂头皮缺损的修复方法.方法 应用枕动脉跨区供血的头皮瓣,修复伴有骨膜、颅骨缺失的占头皮1/3～1/2（8cm×6cm～14cm×13cm）的大面积头皮缺损者9例.结果 9例患者的枕动脉跨区供血反流轴型皮瓣全部成活,创面均Ⅰ期修复,术后随访3～42个月,头皮肿瘤未见复发,效果满意.结论 枕动脉与头皮其他血管之间存在广泛、稳定的吻合支,血运丰富,以枕动脉为供血动脉,跨区切取大面积的头皮瓣,一次修复头部肿瘤切除术后大面积复杂头皮缺损,是一种安全、可靠、有效的方法.Objective To investigate the reconstruction method of large and complex scalp defects after scalp resection. Methods Nine reverse flow axial flaps nourished by the occipital artery aerossing area supply were designed to reconstruct the scalp defects （range from 8 cm ×6 cm to 14 cm × 13 cm, about 1/3 to 1/2 of the scalp） with deficiency of periosteum and cranial bones. Results All 9 flaps survived completely and the defects were reconstructed primarily postoperatively. Satisfactory results were received in all cases after 3 to 42 months follow-up without tumor recurrence in any case. Conclusion The scalp is well vascularized and has abundant anastomoses between the occipital artery and other arteries of scalp. After the resection of scalp tumor, reverse flow axial flap nourished by the artery acrossing area supply based on the occipital artery is a relatively simple and reliable procedure for the reconstruction of large and complex scalp defect.

关 键 词：头皮肿瘤 头皮缺损 动脉跨区供血 反流轴型皮瓣 

分 类 号：R622[医药卫生—整形外科]