旋髂浅动脉岛状分叶皮瓣在修复下腹部及会阴区瘢痕挛缩中的应用

精品文档---下载后可任意编辑韩军涛，谢松涛，淘克，计鹏，张万福，胡大海（第四军医大学西京医院烧伤与皮肤外科，陕西 西安，710032）【摘要】目的探讨以旋髂浅动脉为蒂的岛状皮瓣在修复下腹部及会阴区瘢痕挛缩中的应用，及其远端分叶皮瓣的设计。方法 22 例下腹部至会阴区有广泛性瘢痕增生及挛缩畸形的患者，采纳单侧或双侧以旋髂浅动脉为蒂的岛状皮瓣进行修复，皮瓣远端设计长宽比例 1:1～3:1 的分叶瓣，用以覆盖重要功能区，供瓣区直接缝合或移植自体中厚皮。结果 22 例患者共 24 个皮瓣均存活良好，皮瓣色泽正常，外生殖器外形及功能正常，随访 3 月～2 年，未出现继发性挛缩。结论以旋髂浅动脉为蒂的岛状皮瓣可良好地修复下腹部及会阴区的瘢痕挛缩，且其远端分叶瓣的长宽比可超出随意皮瓣的设计限制。【关键词】旋髂浅动脉；岛状皮瓣；下腹部；会阴部；瘢痕挛缩Application of superficial iliac circumflex artery island flaps in repairing cicatricial contracture of hypogastric and perineal regionHan Jun-tao, Xie Song-tao, Tao Ke, Ji Peng, Zhang Wan-fu, Hu Da-hai. Burns centre of PLA, Department of Burns and Cutaneous Surgery, Xijing HospitalFourth Military Medical University，Xi’an 710032, Shaanxi Province, P.R.ChinaCorresponding author: Hu Da-hai, Email:burns@fmmu.edu.cn, Tel: 029-84775293【Abstract】Objective To evaluate the results of superficial iliac circumflex artery (SICA) island flaps in repairing cicatricial contracture of hypogastric and perineal region and discuss the design of lobulated skin flap on it. Methods22 cases with extensive scar and cicatricial contracture in hypogastric and perineal region were involved. All of them were repaired withSICA island flaps and the length breadth ratio of lobulated skin flap was from 1:1 to 3:1. The donor site was sutured directly or was closed by split thickness skin transplantation.Results All cases with 24 flaps survivedsatisfactorily.The patients were satisfied with the repair in the contour, function and c...