以旋肩胛动脉降外侧支为蒂的肩胛皮瓣临床应用

目的介绍一种新的肩胛皮瓣设计方式及手术.方法在对尸体旋肩胛动脉降支的外侧支解剖学研究基础上,2001年2月～2002年8月应用以旋肩胛动脉降外侧支为蒂的肩胛皮瓣8 cm×25 cm～11 cm×35 cm游离移植,修复面颈部烧伤后增生性或挛缩性瘢痕7例.供瓣区直接缝合,或移植中厚皮片覆盖.结果术后7例肩胛皮瓣均成活,供区无继发畸形.随访3个月～1年,除2例皮瓣需修薄外,其余外形均满意.结论以旋肩胛动脉降外侧支为蒂的肩胛皮瓣可斜向乳房下皱襞设计,供区隐蔽,扩大了肩胛皮瓣的应用范围.

CLINICAL APPLICATION OF SCAPULAR FLAP PEDICAL ON LATERAL DESCENDING CUTANEOUS BRANCH OF CIRCUMFLEX SCAPULAR ARTERY

OBJECTIVE: To introduce a new design of the scapular flap. METHODS: The lateral descending cutaneous branch of the circumflex scapular artery was investigated in 10 cadavers with radiography. Based on the results, we used the scapular flap (from 8 cm x 25 cm to 11 cm x 35 cm) pedical on the lateral descending cutaneous branch of the circumflex scapular artery to reconstruct defects of faciocervical region after burning in 7 patients, with direct suture the donate area, or skin grafting. RESULTS: Sever flaps survived completely, satisfactory results were obtained except 2 patients' flap to need to be thinned during the following up. CONCLUSION: This flap can be designed to extend to the inframamary fold, the donor-site scar of the flap is well hidden. The design of the flap broadens the application of the scapular flap.