摘要
目的 探讨上臂内侧扩张皮瓣的血液供应及用于修复面部瘢痕挛缩的方法。 方法 选择面部瘢痕挛缩患者 7例 ,Ⅰ期手术时将扩张器置入上臂内侧深筋膜浅层。Ⅱ期手术时 ,利用尺侧上副动脉供血、贵要静脉属支及腋静脉属支回流的上臂内侧扩张皮瓣带蒂转移 ,Ⅲ期时用扩张皮瓣断蒂修复面部瘢痕挛缩 ,扩张皮瓣面积最大 15cm× 10cm。 结果 移植皮瓣全部成活 ,皮瓣色泽接近面部正常组织 ,外形良好 ,上臂内侧供瓣区遗留较小切口瘢痕。 结论 将扩张器置于上臂内侧皮肤深筋膜浅层形成的扩张皮瓣用于修复面部瘢痕挛缩 ,是一个可行的方法 ,但治疗需要时间较长 ,上肢与头的强迫体位固定是其不足。
Objective To investigate the blood supply of the expanded skin flap from medial upper arm and its appliction on the reparation of facial defect due to scar resection. Methods The operation was carried out for three steps: 1) The expander was embed under the superior proper fascia. 2) The skin flap from medial upper arm was created with superior ulnar collateral artery as blood supply and attributive branches of basilic and axillary veins as blood collection and was grafted onto the facial defect. 3). After being separated from donor site, the skin flap was emplyed to cover the facial defect with maximal area of 15×10 cm 2. Results Seven patients in all with facial scar and defects were managed with the skin flap. All the grafted skin flaps survived at last with nearly normal skin color, texture and contour.And the scar in donor sites seemed to be neglectable. Conclusion Reparation of facial defects with medial upper arm skin flap after expanding could be recommended. But longer treatment time and some obsessive action of upper limbs and head might be disadvantages. [
出处
《中华烧伤杂志》
CAS
CSCD
2003年第4期223-225,共3页
Chinese Journal of Burns
