【摘要】 为探讨和利用有限的皮瓣修复不同创面的可行性,应用同一皮瓣分次转移技术修复不同部位的创面8例,其中有带蒂髂腰皮瓣2例,旋髂浅腹壁浅联合皮瓣2例,游离背阔肌皮瓣2例,腓肠肌皮瓣1例,胸三角皮瓣1例。常规分离切取各个供区皮瓣,转移修复其中主要的外伤创面或瘢痕切除后创面,其余遗留外露创面彻底清创,并妥善处理。术后2周左右行皮瓣血运训练,皮瓣血运确实可靠后行二期皮瓣转移,二期皮瓣转移时采取逆行或顺行转移修复遗留瘢痕组织或创面。根据二期手术方式,部分病例2周后再次行皮瓣血运训练及断蒂术。8例皮瓣2次转移均完全成活,创面得以妥善修复。随访6个月外形功能改善,提示同一皮瓣分次修复不同部位创面安全可行,能有效解决有限皮瓣修复多处创面的矛盾。更多还原

【Abstract】 To investigate the feasibility of using limited flap to repair different wounds by using fractionated transfer of one flap to repair different wounds in 8 cases. Among them, 2 cases were pedicle iliolumbar skin flaps, 2 cases were pedicle iliolumbar and hypogastric combined skin flaps, 2 cases were free latissimus dorsal myocutaneous flaps, 1 case was gastrocnemius myocutaneous flaps, and 1 case was deltopectoral skin flap. The flap in donor area was isolated normally, and then transferred to repair the main wound or the wound following scar excision. The other remnant wounds were treated by using thorough debridement. Blood supply training was performed from two weeks after operation. When the flap had reliable blood supply, a second-stage operation was performed. The remnant wounds were repaired by anterograde or reversed transfer. According to the ways of the second-stage operation, blood supply training and dissection of the pedicles were performed at 2 weeks after operation in some of the patients. All these flaps survived, and the wounds were repaired with satisfactory. The appearances and functions were improved after a six months follow-up. Results suggested that it was safe and feasible to use the same pedicle repaired different parts, which can solve the problem of using limited flap to repair different wounds.更多还原