拱顶石穿支皮瓣手术设计要点和临床应用研究

The clinical application of keystone design perforator flaps

目的 探讨拱顶石穿支皮瓣手术设计要点和临床应用.方法 2012年1月至2017年12月,应用拱顶石穿支皮瓣修复各类软组织缺损患者26例,包括经典拱顶石穿支皮瓣21例、短切口拱顶石皮瓣3例、Ω形拱顶石皮瓣2例.结果 1例患者皮瓣部分坏死,经换药后好转.其余患者皮瓣血运良好,切口一期愈合.术后随访3个月至1年,皮瓣成活良好,术后形态满意.结论 拱顶石穿支皮瓣具有设计简单、血供充分、术时较短、术后外观良好等优点,可广泛用于修复除头皮以外的身体绝大多数部位的软组织缺损.

Objective To introduce the experience in skin defect reconstruction with keystone design perforator flap.Methods From January 2012 to December 2012,26 patients with different types of skin defect were repaired with keystone design perforator flaps,including 21 classic keystone design perforator flaps,3 short incision keystone design perforator flaps,and 2 Omega variant keystone design perforator flaps.Results One patient suffered partial flap loss and healed secondarily.All other patients recovered smoothly without complications.Conclusions Keystone design perforator flap offers a versatile technique for skin defect reconstruction except for scalp.