| 腹壁下动脉穿支皮瓣游离移植修复四肢软组织缺损 |
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投稿时间：2013-08-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 张功林 |
ZHANG Gong-lin |
兰州军区总医院骨科研究所, 甘肃 兰州 730050 |
Institute of Orthopaedics, General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
668zgl@163.com |
| 甄平 |
ZHEN Ping |
兰州军区总医院骨科研究所, 甘肃 兰州 730050 |
Institute of Orthopaedics, General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
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| 陈克明 |
CHEN Ke-ming |
兰州军区总医院骨科研究所, 甘肃 兰州 730050 |
Institute of Orthopaedics, General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
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| 赵来绪 |
ZHAO Lai-xu |
武山县人民医院骨科, 甘肃 武山 741300 |
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| 杨军林 |
YANG Jun-lin |
武山县人民医院骨科, 甘肃 武山 741300 |
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| 周建华 |
ZHOU Jan-hua |
武山县人民医院骨科, 甘肃 武山 741300 |
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| 薛钦义 |
XUE Qin-yi |
武山县人民医院骨科, 甘肃 武山 741300 |
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| 期刊信息：《中国骨伤》2014年，第27卷，第9期，第775-777页 |
| DOI：10.3969/j.issn.1003-0034.2014.09.015 |
| 基金项目: |
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中文摘要:
目的：报告腹壁下动脉穿支皮瓣游离移植修复四肢组织缺损临床应用结果。
方法：自2006年1月至2012年1月，应用腹壁下动脉穿支皮瓣带蒂移植修复小腿（7例）和前臂（6例）软组织缺损13例，其中男9例，女4例；年龄21～45岁，平均33岁。软组织缺损范围7 cm×17 cm～8 cm×26 cm.外侧支和内侧支穿支皮瓣分别是7例和6例。供区直接缝合。
结果：1例皮瓣发生小的皮缘裂开，术后1个月自然愈合，皮瓣全部成活。术后随访1.8～4.0年，平均2.8年，受区外形较好。
结论：腹壁下动脉穿支皮瓣游离移植很适宜修复四肢软组织缺损，这种技术安全、可靠，可降低对供区的损伤。 |
| 【关键词】软组织损伤 穿支皮瓣 腹壁下动脉 |
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| Repair of limb soft tissue defect with free deep inferior epigastric perforator flap |
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ABSTRACT
Objective: To report the clinical application results of free deep inferior epigastric perforator flap in the repair of soft tissue defect.
Methods: From January 2006 to January 2012, 13 patients with soft tissue defect(7 cases in leg and 6 cases in forearm) underwent reconstruction with a free deep inferior epigastric perforator flap. There were 9 males and 4 females, aged from 21 to 45 years old with an average of 33 years. Soft tissue defect in the extremities were from 7 cm×17 cm to 8 cm×26 cm. The medial branch and lateral brangh flaps were 7 cases and 6 cases respectively. The donor site was closed directly.
Results: One patient developed small wound dehiscence, which spontaneous healed at one month after surgery. All the flaps had survived completely. Follow-up period ranged from 1.8 to 4.0 years with the mean of 2.8 years postoperatively. Satisfactory clinical results were obtained in 12 cases. A good contour was confirmed at the recipient area.
Conclusion: The free deep inferior epigastric perforator flap for the extremities defects of soft tissue is a good option. This technique is safe and reliable, and can decrease the injury of donor site. |
| KEY WORDS Soft tissue injuries Perforator flaps Inferior epigastric artery |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张功林,甄平,陈克明,赵来绪,杨军林,周建华,薛钦义.腹壁下动脉穿支皮瓣游离移植修复四肢软组织缺损[J].中国骨伤,2014,27(9):775~777 |
| 英文格式: | ZHANG Gong-lin,ZHEN Ping,CHEN Ke-ming,ZHAO Lai-xu,YANG Jun-lin,ZHOU Jan-hua,XUE Qin-yi.Repair of limb soft tissue defect with free deep inferior epigastric perforator flap[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(9):775~777 |
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