阔筋膜张肌球拍形岛状肌皮瓣  

The tensor fascia lata racket shape myocutaneous island flap

作　　者：于国中[1] 庞水发[1] 李国材[2] 

机构地区：[1]中山医科大学附属第一医院整形外科,广州510080 [2]中山医科大学附属肿瘤医院腹科,广州510080

出　　处：《中华整形外科杂志》2001年第5期261-263,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨根据肌肉解剖形状和血管分布 ,将阔筋膜张肌皮瓣设计成上窄下宽 ,呈球拍形的岛状肌皮瓣的可行性。方法　应用阔筋膜张肌球拍形岛状肌皮瓣 ,修复中下腹壁大块软组织缺损 4例。结果　 3例全部成活 ,1例岛状肌皮瓣远端有小块皮肤坏死 ,经移植皮片而痊愈。结论　阔筋膜张肌球拍形岛状肌皮瓣是可行的 ,且皮瓣较窄的上段似一个延长的蒂 ,使之移转灵活 ,而皮瓣供区的上段又可直接缝合 ,从而减少了用来修复皮瓣供区创面所需皮片的面积。Objective To provide a racket shape tensor fascia lata myocutaneous island flap according to the anatomical form and blood supply of the tensor fascia lata. Methods Four tensor fascia lata racket shape myocutaneous island flaps were used in four patients clinically. All 4 flaps were for repairing abdominal defect. Results Three of the four flaps survived without complication. In one of the four flaps, skin necrosis at the distal tip was noted and needed additional skin graft. Conclusions\ The tensor fascia lata racket shape myocutaneous island flap is a convenient island flap. The island flap designed like racket shape has two benefits than the conventional rectangular island flap:① The narrow proximal part of the flap is like a extended pedicle, which makes the broad distal part of the flap can easily be transposed to the recipient site. ② The donor defect of the narrow proximal part can be closed directly, which lessens the size of skin graft for the donor defect. The cause of skin necrosis at the distal tip of one flap is mainly due to that the length of the flap exceeds the distal end of the middle one third of the lateral thigh.

关 键 词：阔筋膜张肌 球拍形 岛状肌皮瓣 腹壁组织缺损 皮瓣移植 

分 类 号：R622.1[医药卫生—整形外科]