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肩胛皮瓣在四肢组织缺损美学修复中的应用
引用本文:卢仕良,谢伟勇,陶国贵,柳原.肩胛皮瓣在四肢组织缺损美学修复中的应用[J].武警医学,2011,22(8):679-680,684.
作者姓名:卢仕良  谢伟勇  陶国贵  柳原
作者单位:武警广东总队医院整形外科,广州,510507
摘    要: 目的 探索应用肩胛皮瓣行四肢组织缺损的美学修复.方法 应用肩胛皮瓣游离移植修复各种原因造成的组织缺损.结果 自1998 -02至2010 -12,临床应用11例,皮瓣面积(10 cm×15 cm) ~(16 cm×25 cm),成活10例,1例因血管变异失败.结论 肩胛皮瓣与四肢皮肤厚薄、质地相似,术后肢体形态、功能恢复良好,是四肢组织缺损美学修复的首选皮瓣.皮瓣预扩张后一期修复效果优良.

关 键 词:肩胛皮瓣  游离皮瓣  组织缺损  美学  

The scapular free flap for aesthetic reconstruction of upper and lower extremity wound
LU Shiliang,XIE Weiyong,TAO Guogui,LIU Yuan.The scapular free flap for aesthetic reconstruction of upper and lower extremity wound[J].Medical Journal of the Chinese People's Armed Police Forces,2011,22(8):679-680,684.
Authors:LU Shiliang  XIE Weiyong  TAO Guogui  LIU Yuan
Institution:LU Shiliang,XIE Weiyong,TAO Guogui,and LIU Yuan.Department of Plastic Surgery,Guangdong Provincial Corps Hospital,Chinese People's Armed Police Forces,Guangzhou 510507,China
Abstract:Objective To study the application of the scapular free flap for aesthetic reconstruction of the upper and lower extremity wound.Methods Scapular free flaps were designed to repair the tissue defect of the upper and lower extremity.Results Eleven patients with tissue defect and scar of the upper and lower extremity were treated with the scapular free flaps.The flap size ranged from(10 cm×15 cm) to(16 cm×25 cm).Ten flaps survived,and partial necrosis developed in the distal end of the flap in one case.Conclusions The scapular free flap provides a reliable blood supply and can be used to construct the tissue defect of the extremity, with satisfactory functional and aesthetic results.
Keywords:scapular flap  free flap  tissue defect  aesthetic  
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