摘要
在腹壁下血管解剖学研究基础上,应用胸脐皮瓣修复四肢巨大创面46例。皮瓣大小为27×12cm～45×12cm。15例为带血管蒂岛状皮瓣转移;31例为吻合血管皮瓣移植,其中下肢8例用对侧胫后血管桥接吻合移植。皮瓣全部成活。此皮瓣优点为:血管蒂长(19cm～22cm),血管径粗(2.6mm),抗感染及愈合力强,可携带助骨制成骨皮瓣同时修复骨缺损。
Based on the anatomical studies on epigastric inferior vessels,thoraco-umbilical flap wasdesigned and applied in repairing giant limb surface wound is 46 cases.The flap is from 27×12cmto 45×12cm in dimension.Of the 46 cases of patient,15 were treated by island flap transpositonwith vascular pedicle,and 31 were treated by flap tansfer with blood vessel anastomosis,ofwhich the posterior tibial blood vessels on the opposite side were used as the anastomotic bridgein 8 cases.All flaps in 46 cases survived well.The thoraco-umbilical flap could be widely usedwith the following advantages as,long blood vessel pediele(17～22cm),gross vascualar diame-ter(2.6mm),strong anti-infective and healing potentials,and osteocutaneous flap containingrib for repairing multiple soft and skeletal tissue defects.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1993年第3期226-228,共3页
Chinese Journal of Clinical Anatomy
关键词
外科皮瓣
胸脐皮瓣
腹壁下血管
surgical flaps
thoraco—umbical flap
epigastric inferior vessels
