【摘要】 目的总结1985年以来,临床52例应用15种岛状皮瓣、肌皮瓣,修复四肢创伤软组织缺损、瘢痕挛缩畸形、先天性畸形鼻再造以及巨大直肠阴道瘘的修补经验。方法以非主干动脉的岛状皮瓣为主共47例(90.38％),其中逆行岛状皮瓣24例,占46.15％。结果 52例中除1例胸大肌岛状肌皮瓣远端有很小面积坏死外,余均全部成活。40例术后随访8个月～11年,功能及形态恢复满意。结论岛状皮瓣、肌皮瓣具有血运丰富、抗菌能力强,移位方便、操作简单,不受设备条件的限制等优点。更多还原

【Abstract】 Objective This is to introduce the experience in clinical applications of the island and myocutaneous flaps.Methods Since 1985 fifteen types of vascularized island and myocutaneous flaps have been applied in 52 cases (21 positions) for the following purposes:repairing traumatic soft tissue defects on the limb,scar contracture,congenital recto-vaginal fistula,reconstructing congenital nasal de- formity and rehabilitating function.The non-major artery island flap was used in 47 cases (90.38%) and the retrograde island flap was used in 24 cases (46.15%).The size of the flap ranged from 2.5cm× 1.5cm to 15cm×12cm.Results All the flaps survived with primary healing.Follow-up for 8 months to 11 years showed aesthetically and functionally satisfactory results in all cases.Conclusion These island and myocutaneous flaps have rich blood supply and are highly anti-infective.The operation is easy and the success rate is high.更多还原