肩胛皮瓣在四肢组织缺损美学修复中的应用

 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.

The scapular free flap for aesthetic reconstruction of upper and lower extremity wound

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.