显微削薄穿支皮瓣技术在臃肿皮瓣二期削薄中的应用  

Clinic application of micro-dissected perforator flap technique for defatting bulky flap at the second stage

作　　者：唐举玉[1] 周征兵[1] 吴攀峰[1] 俞芳[1] 肖勇兵[1] 潘丁[1] 庞晓阳[1] 曾磊[1] 卿黎明[1] 符劲飞 

机构地区：[1]中南大学湘雅医院手显微外科,长沙410008

出　　处：《中华显微外科杂志》2016年第1期4-7,共4页Chinese Journal of Microsurgery

基　　金：国家自然科学基金资助项目（81472104）

摘　　要：目的探讨显微削薄穿支皮瓣技术应用于臃肿皮瓣二期削薄的可行性与临床疗效。方法从2013年lO月至2014年6月。应用显微削薄穿支皮瓣技术治疗皮瓣移植术后臃肿畸形9例．手术显微镜下分离并保护好穿支血管，保留真皮下脂肪3～5mm，去除多余脂肪组织。结果9例术后皮瓣无1例坏死，创口均一期愈合。术后随访3—12个月，平均6个月。皮瓣色泽正常，质地良好，受区外形及功能明显改善。结论应用显微削薄穿支皮瓣技术对臃肿皮瓣二期削薄能一次完成手术，术后皮瓣血供可靠，外形良好，是一种理想的皮瓣削薄新方法。Objective To explore the feasibility and clinic effect of the micro-dissected perforator flap technique for defatting bulky flap at the second stage. Methods From October, 2013 to June, 2014, 9 patients had been performed to preserve 3-5 mm thickness of fascia-fatty tissue on the recipient site, remove the subcutaneous tissue uniformly around the perforator under microscope and protect the vascular pedicle and perforator vessel carefully. Results The 9 bulky flap which were taken defatting procedure survived and the wounds got healed primarily. All the patients were followed up for 3-12 months （average 6 months）, the flap bulky appearance significantly reduced, and the function were improved obviously. Conclusion The micro-dissected perforator flap technique is an ideal method for defatting the bulky flap at the second stage as it can keep reliable blood supply, get good appearance and the procedure can be finished at one time.

关 键 词：穿支皮瓣 皮瓣削薄 显微外科技术 皮瓣臃肿 

分 类 号：R622[医药卫生—整形外科]