摘要
目的:探讨应用腹直肌肌皮瓣修复四肢大面积软组织缺损的临床应用。方法:19例严重创伤或手术切除后形成四肢大面积软组织缺损患者行腹直肌肌皮瓣修复术,术中根据患者损伤的创面部位采用带蒂或游离腹直肌肌皮瓣修复缺损处,3例胫前或足背动脉受损者采用逆行吻合血管的方法修复创面。结果:本组手术顺利、无皮瓣坏死、感染等并发症。随访4个月～22个月,皮瓣外形和功能恢复良好。结论:腹直肌肌皮瓣修复四肢大面积软组织缺损值得推荐。
Objective： To study the operational methods and clinical application of rectus abdominis musculocntaneous flap in repairing large soft tissue defect of limbs. Methods： Nineteen cases with large soft tissue defects of limbs after suffering from severe trauma or exairesis received prosthesis. According to practical conditions, the raw surface was repaired by the pedicle skin flaps or free rectus abdominis musculocutaneous flaps. Three cases with injury of dorsalis pedis artery had to accept the regressive vascular anastomosis. Resuits： All cases in this study were operated well, without complications such as necrosis of skin flap, infection and so on. During the follow - up period of 4 - 22 months, the shape and function of skin flaps regained well. Conclusion ： Repairing large soft tissue defects of limbs with rectus abdominals musculoeutaneous flap is a recommendable choice.
出处
《解剖与临床》
2008年第6期432-434,共3页
Anatomy and Clinics
关键词
腹直肌肌皮瓣
软组织
缺损
修复
Rectus abdominis musculocutaneous flap
Soft tissue
Defect
Reconstruction
