组织工程与重建外科杂志2024，Vol.20Issue(1)：64-68,5.DOI:10.3969/j.issn.1673-0364.2024.01.004
胸背动脉穿支皮瓣在肩胸背部创面修复中的临床应用
Clinical application of thoracodorsal artery perforator flap in the repair of shoulders,chest and back wounds
摘要
Abstract
Objective To explore the application of thoracodorsal artery perforator flap in the repair of shoulders,chest and back skin soft tissue defects.Methods From January 2019 to December 2022,thoracodorsal artery perforator flap was applied to repair skin soft tissue defects of shoulder,chest and back in a total of 8 cases,all of which were caused by tumor resection.Preoperatively,CTA and handheld Doppler ultrasound were applied to confirm the presence,course,branches,and location of the thoracodorsal artery.The thoracodorsal artery perforator flap was designed according to the location and area of the vulnus.The flap carried only a very small piece of muscle in the location where the perforating branch emanated,and the proximal descending branch of the thoracodorsal artery was stripped from the muscle,preserving the transverse branch of the thoracodorsal artery and the thoracodorsal nerve.The transverse branch could be cut if the length of the vascular pedicle was insufficient.The flap was transferred with the pedicle to repair the wound.The donor area was sutured by pulling together.Results The flap survived in all 8 cases,and the incision in the donor area healed well.The patients were followed up for 6 months to 2 years.All patients were satisfied with the appearance of the recipient area,and there was no obvious deformity in the donor area,and the function of the shoulder joint was not significantly affected.Conclusion The thoracodorsal artery perforator flap has a reliable blood supply,a long vascular pedicle,and preserves the function of the latissimus dorsi muscle,which makes it a good choice for repairing wounds adjacent to the shoulders,chest and back.关键词
胸背动脉穿支皮瓣/皮肤软组织缺损/肩胸背部/背阔肌Key words
Thoracodorsal artery perforator flap/Skin and soft tissue defects/Shoulders,chest and back/Latissimus dorsi muscle分类
医药卫生引用本文复制引用
李承龙,仲海燕,陈勇,王倩,邹鸣立,袁斯明..胸背动脉穿支皮瓣在肩胸背部创面修复中的临床应用[J].组织工程与重建外科杂志,2024,20(1):64-68,5.基金项目
东部战区总医院院内课题(YYZD2021001). （YYZD2021001）
