CAJ | 학술논문

目的介绍单蒂跨胸腹胸脐皮瓣移植修复上肢超长创面的手术方法及适应证.方法自2006年至2012年,利用腹壁下动脉→腹壁上动脉→肋间动脉或侧胸动脉两重“链式供血”这→特点设计并采用仅作一组血管吻合的跨胸腹供区超长胸脐皮瓣修复上肢超长创面,临床应用共8例.结果 8例皮瓣术后均顺利存活,供受区伤口Ⅰ期愈合.随访皮瓣外观满意,供区仅遗留线性瘢痕,未出现任何并发症.结论利用腹壁下动脉→腹壁上动脉→肋间动脉或侧胸动脉两重“链式供血”这一特点设计的仅作一组血管吻合的跨胸腹供区超长胸脐皮瓣是修复上肢超长创面的好方法.
목적 개소단체과흉복흉제피판이식수복상지초장창면적수술방법급괄응증.방법 자2006년지2012년,이용복벽하동맥→복벽상동맥→륵간동맥혹측흉동맥량중“련식공혈”저→특점설계병채용부작일조혈관문합적과흉복공구초장흉제피판수복상지초장창면,림상응용공8례.결과 8례피판술후균순리존활,공수구상구Ⅰ기유합.수방피판외관만의,공구부유류선성반흔,미출현임하병발증.결론 이용복벽하동맥→복벽상동맥→륵간동맥혹측흉동맥량중“련식공혈”저일특점설계적부작일조혈관문합적과흉복공구초장흉제피판시수복상지초장창면적호방법.
Objective To introduce the surgical techniques and indications of single pedicle thoracoumbilical flaps spanning chest and abdomen in the repair of upper extremity giant soft-tissue defects.Methods From 2006 to 2012,8 cases with upper extremity giant soft-tissue defects were treated with the ultra-long thoraco-umbilical flaps spanning chest and abdomen.The blood vessel chain of inferior epigastric artery→superior epigastric artery→intercostal arteries or lateral thoracic artery were included in the flap to provide double blood supply with only one vascular anastomosis.Results All of the 8 flaps survived.Wounds at both donor and recipient sites achieved primary healing.The shape of flaps was satisfactory after 6 to 18 months' follow-up.The donor site was left with a linear scar.There were no complications.Conclusion The thoraco-umbilical flap spanning chest and abdomen with inferior epigastric artery→ superior epigastric artery→ intercostal arteries or lateral thoracic artery double "chain blood supply" requires only one vascular anastomosis and is an ideal option for treatment of upper extremity giant long soft-tissue defects.