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胸背血管蒂皮瓣的临床应用

Clinical Application of Thoracodorsal Vascular Pedicle Skin Flaps
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摘要 目的:探讨胸背血管蒂皮瓣修复躯体组织缺损的疗效。方法:应用胸背血管蒂皮瓣修复头、颈、胸、上肢等不同部位软组织缺损,其中带蒂胸背血管蒂皮瓣修复4例,游离胸背血管蒂皮瓣修复6例。结果:术后9例胸霄血管蒂皮瓣均存活良好,修复效果满意,1例游离胸背血管蒂皮瓣坏死。随访1月~3a,受区外形及功能恢复满意,供区愈合良好。结论:胸背血管蒂皮瓣血供丰富,血管解剖恒定,血管蒂长,可切取面积大,形式灵活,是修复组织缺损常用的皮瓣之一。 Objective: To explore efficacy of the thoracodorsal vascular pedicle skin flaps to reconstruct the defective somatic tissues. Methods: Using the vascular pedicle skin flaps to reconstruct the defective somatic tissures at different sites including head, neck,chest, upper limbs and et al. The flaps consisted of four pedicle flaps and six free flaps, all which comprised thoracodorsal blood vessels. Results: Except one free flap was necrosis, the rest flaps survived well, with satisfactory results of reparation. All cases were followed up for one month to three years. The appearance and functional recovery of the recipient sites were fine, meanwhile, the donor sites healed well. Conclusion: Owing to rich in blood supply, constant vascular anatomy, long reliable vascular stem, large surface, so the thoracodorsal vascular pedicle skin flaps is one of commonly used flaps in the reconstruction of skin and soft tissue defection.
出处 《解剖与临床》 2008年第2期109-110,113,共3页 Anatomy and Clinics
关键词 胸背血管蒂皮瓣 组织缺损 修复 Thoracodorsal vascular pedicle skin flap Tissue defect Reconstruction
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参考文献7

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