摘要
目的介绍单蒂跨胸腹胸脐皮瓣移植修复上肢超长创面的手术方法及适应证。方法自2006年至2012年，利用腹壁下动脉-腹壁上动脉-肋间动脉或侧胸动脉两重“链式供血”这一特点设计并采用仅作一组血管吻合的跨胸腹供区超长胸脐皮瓣修复上肢超长创面，临床应用共8例。结果8例皮瓣术后均顺利存活，供受区伤口I期愈合。随访皮瓣外观满意，供区仅遗留线性瘢痕，未出现任何并发症。结论利用腹壁下动脉-腹壁上动脉-肋间动脉或侧胸动脉两重“链式供血”这一特点设计的仅作一组血管吻合的跨胸腹供区超长胸脐皮瓣是修复上肢超长创面的好方法。
Objective To introduce the surgical techniques and indications of single pedicle thoraco- umbilical flaps spanning chest and abdomen in the repair of upper extremity giant soft-tissue defects. Methods From 2006 to 2012, 8 cases with upper extremity giant soft-tissue defects were treated with the ultra-long thoraco-umbihcal flaps spanning chest and abdomen. The blood vessel chain of inferior epigastric artery-superior epigastric artery-intereostal arteries or lateral thoracic artery were included in the flap to provide double blood supply with only one vascar anastomosis. Results All of the 8 flaps survived. Wounds at both donor and recipient sites achieved primary healing. The shape of flaps was satisfactory after 6 to 18 months＇ follow-up. The donor site was left with a hnear scar. There were no complications. Conclusion The thoraco-umbilical flap spanning chest and abdomen with inferior epigastric artery- superior epigastric artery intercostal arteries or lateral thoracic artery double ＂chain blood supply＂ requires only one vascular anastomosis and is an ideal option for treatment of upper extremity giant long soft-tissue defects.
出处
《中华手外科杂志》
CSCD
北大核心
2014年第2期81-83,共3页
Chinese Journal of Hand Surgery
关键词
移植
外科皮瓣
胸脐皮瓣
上肢创面
修复
Transplantation
Surgical flaps
Thoraco-umbiIical flaps
Upper extremity soit-tissuedefects
Repair
