带蒂胸脐皮瓣修复前臂和手部软组织缺损的临床应用

Clinical application of the pedicled thoracoumbilicus flap for repairing soft tissue defect of the forearm and hand

目的:报道应用带蒂胸脐皮瓣修复前臂、手部软组织缺损的临床疗效。方法:对18例前臂、手部软组织缺损患者采用带蒂胸脐皮瓣修复。结果:18例皮瓣完全成活,术后3周断蒂,术后随访1.5￣18个月,所有患者对前臂、手部功能和外形表示满意,但供区瘢痕较明显。结论:应用带蒂胸脐皮瓣修复前臂、手部软组织缺损具有操作简单、供区隐蔽、风险小、疗效好的优点,值得在基层医院推广应用。

Objective： To report the clinical effects of the pedicled thoracoumbilicus flap for repairing soft tissue defect of forearm and hand. Methods： 18 cases suffering from skin defects of forearm and hand were treated with the pedicled thoracoumbilicus flap. The area of flap ranged from 19cm× 8cm to 25cm×12cm. Results： There was no postoperative vascular crisis happened for transferred flaps. The pedicle was broken 3 weeks after the operation, and all flaps survived well. 14 patients, following-up from 1.5 to 18 months, showed satisfied appearance and function. There was no functional impairment at the donor sites although scars can not be avoided in some cases. Conclusions： The pedicled thoracoumbilicus flap can be applied to repair soft tissue defects of forearm and hand, for its advantage of lower risk, hided donor site, better effects, and convenient application in basic-level hospitals.