摘要
为满足大面积皮肤缺损的覆盖和器官再造Ⅰ期手术完成,近8年来设计了多渠道供血皮瓣,即由2～3支知名动脉或其皮支共同供养的方案,共已18例23个皮瓣,全部成活,创口Ⅰ期愈合。皮瓣供区部位包括额、颈、髂腹部、小腿及跟腱区等,用于鼻再造,阴茎再造,下腹壁修复,颈前、腕部4/5环状软组织缺损,小腿骨髓炎清创后,踝关节裸露感染及创伤性足下垂矫正等治疗难度较大的病例,都取得成功。认为从这个概念出发,身体许多部位的多渠道供血皮瓣,今后将会不断得到发掘与应用。
In order to meet the need for one-stage repair of large defects and organ reconstruction, the author designed and used the flap with multiple blood supply(MBSF)on 18 patients with 23 flaps in recent 8 years.All the flaps survived.The flap,nourished by 2 or 3 known arteries,was created from different regions including forehead,neck,ilio-abdominal region,medial lower leg and Achilles tendon region.The flaps were used in the following operations:nasal reconstruction,cervical defect covering,penis reconstruction,repair of the lower abdominal wall,wrist defect(4/5 circle)covering, treatment of osteomyelitis of the lower leg,exposure and infection of the ankle joint and the traumatic drop foot,etc.These difficult cases were successfully treated.It is anticipated that the MBSF will be developed and utilized on the other region of the body in the future.
