胸脐组织瓣移植修复肢体软组织缺损的临床研究

CLINICAL RESEARCH ON TRANSPLANTATION OF VASCULAR PEDICLED THORACONAVEL FLAPS IN REPAIRING SOFT TISSUE DEFFECTS IN LIMBS

目的 探讨应用胸脐组织瓣移植修复肢体软组织缺损的临床效果。方法 自 1995年 7月以来 ,应用吻合血管的胸脐组织瓣移植修复肢体软组织缺损 32例 ,急症手术 5例 ,择期手术 2 7例。组织瓣切取面积最大 2 8cm× 16cm ,最小 12cm× 8cm。结果 术后 32例移植的组织瓣全部成活 ,2例术后出现动脉危象 ,经探查为动脉血栓形成 ,重新吻合动脉后 ,组织瓣血循环恢复。术后随访 4个月～ 2年 ,修复效果满意。结论 应用胸脐组织瓣移植是修复肢体软组织缺损的有效方法 ,可获得满意的临床效果。

Objective To explore the clinical effect of transplanting vascular pedicled thoraconavel flaps to repair soft tissue deffects in limbs.Methods Since July,1995,transplantation of vascular pedicled thoraconavel flaps was used in treating 32 cases of soft tissue defects,with the largest flap being 28cm×8cm and the smallest being 2cm×8cm.Results All the transplanted flaps survived postoperatively.Arterial crises occurred in 2 cases because of arterial thrombus.Blood circulations recovered after anastomosis.The 4 months-2years of follow-up surveys showed that the repair effects were satisfactory.Conclusion Good curative effects can be obtained through transplantation of vascular pedicled thoraconavel flap to repair soft tissue defects in limbs.