臂后侧筋膜皮瓣在腋臭术后并发腋部皮肤缺损修复中的应用  

Posterior arm fasciocutaneous flap in the underarm of postoperative axillary skin defects in the application

作　　者：王明军[1] 谢晓军[1] 曹彦[1] 胡俊峰[1] 

机构地区：[1]兰州军区乌鲁木齐总医院哈密分院烧伤整形科,新疆哈密839000

出　　处：《中国美容医学》2011年第10期1515-1516,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用臂后侧筋膜皮瓣修复腋臭术后并发腋部皮肤缺损的临床疗效。方法:以臂后筋膜皮动脉为血管蒂,设计臂后侧筋膜皮瓣,皮瓣面积略大于缺损面积,皮瓣经隧道转移至受区,皮瓣供区直接缝合。结果:本组16例患者,腋部皮肤缺损面积为3.5 cm×4.0cm～6.0 cm×7.0cm,均获得了Ⅰ期修复,术后随访3～6个月,皮瓣全部成活,修复后缺损部位功能和外形良好。结论:臂后侧筋膜皮瓣具有良好的血运,且血管解剖结构恒定,是一种修复腋部皮肤缺损的可行方法。Objective To evaluate the posterior arm fasciocutaneous flap underarm axillary skin defects of postoperative clinical efficacy.Methods After the arm artery pedicle skin fascia,the design arm of the rear flap,flap slightly larger than the defect area,the flap transferred to the recipient through the tunnel,the flap donor site morbidity.Results The group of 16 patients,axillary skin defect area 3.5cm× 4.0cm to 6.0cm × 7.0cm,were obtained Ⅰ stage repair were followed up for 3 to 6 months,the flaps all survived after repair defect site Good function and appearance.Conclusion Posterior arm fasciocutaneous flap repair has a good blood supply,a constant vascular anatomy,is an axillary skin defect repair feasible.

关 键 词：臂后侧筋膜皮瓣 修复 腋臭 并发症 

分 类 号：R622[医药卫生—整形外科]