侧腹部扩张任意型皮瓣修复上肢皮肤软组织缺损  

Expanded lateral abdominal random skin flaps for upper extremity reconstruction

作　　者：田孝臣[1] 岳纪良[1] 修志夫[1] 范巨峰[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041

出　　处：《中华整形外科杂志》2001年第2期75-77,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　提高上肢大面积皮肤软组织缺损的外科治疗效果 ,减少供皮区畸形。方法　于侧腹部埋置扩张器 ,经充分扩张后 ,取出扩张器 ,形成蒂在腹部的扩张皮瓣 ,修复扩张器取出创面后 ,将“额外”皮瓣远位直接移转至上肢修复皮肤软组织缺损。结果　 1997年以来 ,应用该方法为 6例患者修复上肢皮肤软组织缺损 ,移转扩张皮瓣全部成活 ,无血运障碍、皮瓣坏死等并发症发生 ,获得满意效果。结论　在上肢局部无可利用的正常皮肤软组织修复缺损时 。Objective\ This clinical study was to improve the surgical treatment to large soft tissue defects of the upper extremities. Methods\ The expanders were placed under the superficial fascia on the lateral abdominal wall. When the skin was properly expanded, the expanders were then removed, and the expanded skin flap was created and transferred to the upper extremity after covering the donor site. Results\ Six patients were treated with this method since 1997. All the flaps survived without necrosis, and all the defects have been successfully repaired with little donor site defects. Conclusion\ The expanded flap in this manner can be transfered safely. It is useful in plastic and reconstructive surgery, especially in a greater variety of coverage problems of the upper extremity.\;

关 键 词：扩张皮瓣 远位带蒂皮瓣 上肢皮肤软组织缺损 外科手术 

分 类 号：R622.1[医药卫生—整形外科]