国际医药卫生导报2013,Vol.19Issue(24):3755-3758,4.DOI:10.3760/cma.j.issn.1007-1245.2013.24.027
应用旋髂浅动脉穿支皮瓣修复会阴部皮肤缺损
Superficial circumflex iliac artery perforator flaps for reconstruction of perineal skin defects
黄静 1刘小容 2牛占国 1高雁 2尹敬光 1黄晓栋1
作者信息
- 1. 523000 东莞市人民医院烧伤整形科
- 2. 523000 东莞市人民医院医学美容科
- 折叠
摘要
Abstract
Objective To probe into the methods and effects of using superficial circumflex iliac artery perforator flaps to repair perineal cutaneous defects.Methods From August 2005 to January 2010,the skin defects of the perineum were reconstructed with the pedicled superficial circumflex iliac artery perforator flaps in l0 cases.The defects were due to scar excision in 5 cases,infectious ulcer in 2 cases,electrical injury in I case,skin neoplasm in I case and skin avulsion injury in 1 case.The flap area ranged from 5.5 cm× 3.2 cm to 18.5 cm × 10.0 cm and the pedicle length ranged from 4.1 cm to 10.7 cm.Results All the flaps survived completely.Infection occurred in I case at the recipient site and was resolved with dressing change.Follow-up study ranged from 6 months to 3 years.The thickness of the flaps was satisfactory and all the flaps blent well with the color and texture of the surrounding skin.The postoperative scar was inconspicuous at the donor site and no numbness complaint found.Conclusion For resurfacing the anterior perineum,the superficial circumflex iliac artery perforator flap is a better option compared with the traditional groin flap because it has the advantages,namely the longer length of its vascular pedicle,minimal donor site morbidity,being able to carry 2 skin islands on one pedicle and get easily thinned in one stage.关键词
旋髂浅动脉/穿支皮瓣/会阴部/皮肤缺损/创面修复Key words
Superficial/ Circumflex iliac artery/ Perforator flap/ Perineum/ Skin defects/ Wound repair引用本文复制引用
黄静,刘小容,牛占国,高雁,尹敬光,黄晓栋..应用旋髂浅动脉穿支皮瓣修复会阴部皮肤缺损[J].国际医药卫生导报,2013,19(24):3755-3758,4.