CAJ | 학술논문

目的探讨应用旋髂浅动脉穿支皮瓣修复会阴部皮肤缺损的方法及效果.方法 2005年8月至2013年1月我院应用旋髂浅动脉穿支皮瓣带蒂转移修复会阴部皮肤缺损10例,其中瘢痕切除后5例,感染后溃疡2例,电击伤、皮肤肿瘤切除后及皮肤撕脱伤各1例.皮瓣面积5.5cm×3.2cm～18.5cm×10.0cm,蒂长度4.1 ～ 10.7 cm.供区均直接缝合.结果皮瓣全部存活,1例伤口出现感染,经换药后愈合;所有病例随访6个月～3年,皮瓣不臃肿,颜色、质地与周围会阴部皮肤一致,供区瘢痕隐蔽,患者均无出现供区股部皮肤麻木.结论旋髂浅动脉穿支皮瓣克服了传统腹股沟皮瓣的一些缺点,即延长了血管蒂,可一期行皮瓣削薄,对供区损伤少,能设计成一蒂双瓣,是修复会阴前部皮肤缺损的理想皮瓣.
목적 탐토응용선가천동맥천지피판수복회음부피부결손적방법급효과.방법 2005년8월지2013년1월아원응용선가천동맥천지피판대체전이수복회음부피부결손10례,기중반흔절제후5례,감염후궤양2례,전격상、피부종류절제후급피부시탈상각1례.피판면적5.5cm×3.2cm～18.5cm×10.0cm,체장도4.1 ～ 10.7 cm.공구균직접봉합.결과 피판전부존활,1례상구출현감염,경환약후유합;소유병례수방6개월～3년,피판불옹종,안색、질지여주위회음부피부일치,공구반흔은폐,환자균무출현공구고부피부마목.결론 선가천동맥천지피판극복료전통복고구피판적일사결점,즉연장료혈관체,가일기행피판삭박,대공구손상소,능설계성일체쌍판,시수복회음전부피부결손적이상피판.
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.