下腹壁取皮用于乳腺癌手术皮肤缺损的修复

Repair of Skin Defects after Radical Mastectomy by Lower Abdominal Full-thickness Flap Skin Graft

女性乳腺癌行改良根治术后因胸壁皮肤缺损需植皮者70例.从下腹壁取全厚皮片修复,皮片最小为7×3cm,最大为14×8cm,平均为13×6cm.腹壁切口行一层垂直褥式缝合,术后10天拆线,所植皮片全部存活,腹壁切口一期愈合.病人无腹壁发紧或不敢伸腰等任何不适.下腹壁取皮可提供大面积全厚皮片,方法简便,无后遗症,优于从其他部位供皮的植皮方法.

Seventy cases of skin defects of the chest wall after modified radical mastectomy ofbreast cancer were repaired by full-thickness skin grafts which were taken from the lower abdominal wall. The skin grafts varied from 7 × 3cm to 14 × 8cm in dimensions with an average of 13 × 6cm. The abdominal wound was closed with one-layer mattress-sutures. All grafted skin survived and the donor wounds healed up nicely. No discomfort or functional impairments were found at the donor site. It is concluded that this kind of skin graft supply is superior to those grom other origins sources.