旋髂浅动脉游离皮瓣的临床应用及供瓣区处理  

Free superficial iliac circumflex artery skin flap： the clinical application and management of donorsite defects

作　　者：韩军涛[1] 谢松涛[1] 陶克[1] 张万福[1] 计鹏[1] 胡大海[1] 

机构地区：[1]第四军医大学西京医院烧伤与皮肤外科,西安710032

出　　处：《中华整形外科杂志》2013年第3期175-177,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨旋髂浅动脉皮瓣游离移植的临床适应证及供瓣区的修复方法。方法根据创面大小设计旋髂浅动脉皮瓣，并分别游离移植修复17例面颈部、足踝部及小腿等处创伤及畸形，对供瓣区无法直接拉拢缝合者，设计同侧脐旁岛状皮瓣转移进行修复。结果17例旋髂浅动脉游离皮瓣，最大面积19cm×14cm，最小5cm×3cm，16例术后成活良好，1例皮瓣部分坏死，术后2周移植皮片修复。10例供瓣区直接缝合，7例行脐旁岛状皮瓣转移修复，皮瓣全部成活，术后经3个月至2年随访，腹部外形良好。结论旋髂浅动脉皮瓣游离移植，对于面颈部及手足等处具有良好的修复效果，而同侧脐旁岛状皮瓣亦可使供瓣区得到良好的修复。Objective To investigate the clinical application of free superficial iliac circumflex artery skin flaps, as well as the management of donor site defects. Methods 17 free superficial iliac circumflex artery skin flaps were applied for the traumatic defects or deformities on face, neck, foot, hand, ankle and lower leg, respectively. The donor site defects were closed directly or covered by paraumbilical island flaps. Results The 17 flap size ranged from 5 cm × 3 cm to 19 cm× 14 cm. 16 flaps survived completely except 1 flap with partial necrosis, which was closed by free skin graft. The donor site defects were closed directly in 10 cases, and covered by paraumbilical island flaps in 7 flaps without no flap necrosis. The abdomen had a good appearance. Conclusions Good appearance can be achieved with free superficial iliac circumflex artery skin flaps for the defects on face, neck, foot, hand, ankle and lower leg. Paraumbilical island flap can be used for the donor site defects.

关 键 词：外科皮瓣 供区 

分 类 号：R65[医药卫生—外科学]