摘要
目的探讨一种皮瓣修复会阴部及腹股沟创面的方法。方法设计以旋股外侧动脉降支为血管蒂的岛状股前外侧皮瓣,掀起皮瓣后经过皮下隧道将其转移至会阴部及腹股沟创面。结果临床治疗12例,皮瓣面积为8cm×11cm～18cm×20cm。除1例皮瓣靠近肛门处部分表皮坏死外,其余成活良好,外形恢复满意。结论以旋股外侧动脉降支为血管蒂的岛状股前外侧皮瓣是修复会阴部及腹股沟创面较好的方法。
Objective To evaluate a method for the reconstruction of defects of perineum and groin with pedicled anterolateral thigh fasciocutaneous flaps. Methods From July 2003 to February 2005,12 pedicled anterolateral thigh fasciocutaneous flap based on the perforators of lateral circumflex femoral artery had been designed and transferred to the defects of perineum and groin. Results Anterolateral thigh fasciocutaneous island flaps were performed in twelve patients. The size of the transferred flap ranged from 8 cm ×11 cm to 18 cm ×20 cm. Only one patient developed superficial cutaneous necrosis in the posterior aspect of the flap because of fecal contamination and infection. The wounds healed secondarily. Conclusions Despite variable vascular anatomy and technical difficulties in elevating the anterolateral thigh flap, the anterolateral thigh flap is a good choice for perineum and groin reconstruction.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2006年第2期127-129,共3页
Chinese Journal of Plastic Surgery
关键词
岛状股前外侧皮瓣
会阴部
腹股沟
Pedicled anterolateral thigh faseiocutaneous flap
Perineal
Inguinal defects
