摘要
应用胸脐皮瓣修复四肢巨大感染创面18例,其中岛状皮瓣移转6例,吻合血管的游离皮瓣移植12例。皮瓣大小26cm×10cm～40cm×10cm,术后全部成活。伤口Ⅰ期愈合。此皮瓣修复感染创面优点:①血管外径粗,血供丰富,抗感染力强;②可形成肌皮瓣,用肌肉充填骨腔,有利于骨髓炎治愈;③皮瓣面积大,足以覆盖全长胫骨或尺桡骨等;④血管蒂长,移转或移植灵活。
We have repaired large infected wounds on the limb in 18 cases using the thoraco-umbili- cal flap.Of them,6 were island flaps and 12 were free flaps.The size of the flap ranged from 10cm× 12cm,to 10cm×40cm.All flaps survived.The advantages of the flap were(1)rich blood supply provid- ing good anti-infection property;(2)the muscle carried by the flap could be used to fill a bone cavity, aiding to cure osteomyelitis;(3)the flap could be made rather big and has long vascular pedicle that was flexible for transferring.
