四肢远近端顺行双筋膜皮下蒂皮瓣修复四肢缺损

目的探讨应用远近端顺行双筋膜皮下蒂皮瓣修复四肢近端缺损的临床效果。方法自2005年8月至2007年8月，应用远近端顺行双筋膜皮下蒂皮瓣修复四肢病变组织切除术后的皮肤缺损患者36例。按病变组织的形状将其行圆形或椭圆形切除，于缺损的一侧设计、形成以皮瓣基底部皮下组织为蒂或以皮瓣两侧皮下组织为蒂的皮瓣，皮瓣最大宽度小于或等于缺损直径，长度约为缺损直径的1．5-2．0倍，推进覆盖缺损部位。结果36例患者的皮瓣全部成活。术后随访3个月至1年，瘢痕不明显，皮瓣颜色与周围正常皮肤相近，形态较好。结论此方法具有操作简单、皮瓣的血运可靠及转动灵活、愈后切口瘢痕不明显等优点，对于因直接缝合张力大的四肢皮肤缺损的修复，是比较理想的手术方法。

The flap on a subcutaneous pedicle for the limbs skin defects

Objective To introduce a method for repairing limbs skin defects with the flap on a subcutaneous double pedicle.Methods The flap on a subcutaneous double pedicle was used to repair skin defects due to excision of the limbs lesion in 36 patients Since 2005.According to the shape of the lesion,the lesion was excised with circle or ellipse,and the flap with lateral subcutaneous pedicle was designed for repair of the limbs defect.The width of flap was shorter than the diameter of the defect,or equal to it.The l...