以肋下动脉侧皮支前支为血管蒂皮瓣的临床应用  

The design and clinical application of anterior branch of subcostal artery perforator flap

作　　者：韩军涛[1] 何亭[1] 王洪涛[1] 李军[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》2017年第6期438-441,共4页Chinese Journal of Plastic Surgery

摘　　要：目的以肋下动脉侧皮支前支为血管蒂，设计侧腹部皮瓣，修复下腹部及远位创面、．方法本组共10例患者，男6例，女4例，年龄25-62岁，平均（38．2±6．5）岁。设计以肋下动脉侧皮支前支为血管蒂的侧腹部皮瓣10例，其中1例为携带伴行神经的游离皮瓣。共修复腹部创面9例，足底供区创面1例。皮瓣大小为4cm×8cm-7cm×15cm。结果10例皮瓣均成活良好，无一例出现血运障碍，腹部外形良好，遗留线状瘢痕。其中应用游离皮瓣修复足底缺损时，进行了伴行神经与足底内侧神经的吻合，随访6个月时皮瓣感觉恢复范同已达60％以上，两点辨距觉为20-25min。结论以肋下动脉侧皮支前支为血管蒂的侧腹部皮瓣具有血管蒂位置恒定，局部血管网丰富且携带感觉神经等特点，是良好的皮瓣供区。Objective To investigate the anterior branch of subcostal artery perforator flap for defects at the lower abdomen or distal sites. Methods Ten patients were treated, including 6 males and 4 females, aged 25 to 62 years, mean （ 38.2 ± 6. 5 ） years old. The anterior branch of subcostal artery perforator flap was designed in 10 cases, of which 1 case was free flap carrying the accompanying nerve. 9 cases had defects at abdomen and 1 case at the foot. The flaps size was 4 cm ×8 cm -7 cm × 15 cm. Results All the 10 flaps survived completely with no vascular crisis. The abdominal shape was good with only linear scar. The free flap was used for plantar wound with nerve anastomosis of accompanying nerve with the medial plantar nerve. During the follow-up period of 6 months, the flap sensory recovery area reached more than 60% with two-point discrimination as 20 - 25 mm. Conclusions The anterior branch of subcostal artery perforator flap has a stable vascular pediele with reliable vascular network and sensory

关 键 词：肋下动脉 带蒂皮瓣 游离皮瓣 

分 类 号：R622[医药卫生—整形外科]