摘要
我们应用胸脐皮瓣急诊修复四肢巨大创面13例,其中上肢8例,下肢5例,岛状移转6例,吻合血管的游离移植7例。皮瓣大小26 cm×10 cm～40 cm×12 cm,皮瓣全部成活,伤口Ⅰ期愈合,以此皮瓣急诊修复四肢创面,具有血管外径粗,血管蒂长,皮瓣血供丰富,抗感染及愈合能力强,皮瓣面积大,覆盖面广等优点。皮瓣并可携带肋骨作为骨皮瓣移植,以同时修复骨缺损。
We have repaired larger detect of limbs after emergent debridement using the thoraco-umbilical flap on 13 cases,6of which were vascular island flaps,7 were free flaps.The size of the flaps was 10 cm×26 cm to 12 cm×42 cm.All the flaps survived completely.The advantages of the flap are:①the pedicle of the flap is long and has a large diameter,②the flap can be made quite long so as to cover the whole ulna or tibia, ③the flap can be used to repsir bony defect by carrying a rib as an osteocutaneous flap.
