带蒂下部前锯肌肌皮瓣及筋膜皮瓣的临床应用

目的：探讨带蒂下部前锯肌肌皮瓣及筋膜皮瓣修复皮肤软组织缺损的可行性。方法：采用5例肌皮瓣、4例筋膜皮瓣修复皮肤软组织缺损患者共9例，其中腋窝3例，颈部2例，胸部2例，上臂1例，背部1例。结果：9例皮瓣完全存活，无供血不足及静脉回流障碍，供区瘢痕隐蔽，无“翼状”肩胛出现。结论：下部前锯肌肌皮瓣或筋膜皮瓣血管蒂长，血管管径粗，便于操作，皮瓣不臃肿，易于塑形，供区并发症少，是一种值得推广应用的皮瓣。

Clinical application of pedicled lower serratus anterior myocutaneous flap and fasciocutaneous flap

Objective To study the feasibility of repairing skin-soft tissue defects with pedicled lower serratus anterior myocutaneous flaps or fascio-cutaneous flaps. Methods Five myocutaneous flaps and four fasciocutaneous flaps were applied to repair the defects in 9 cases, including 3 cases in axillary fossa, 2 cases in neck, 2 cases in chest wall, 1case in upper arm and 1 case in upper back. Results All the flaps survived completely with reliable blood supply and had no venous complication. The postoperative scar at donor site was concealed and no winged scapula presented. Conclusion Lower serratus anterior myocutaneous flap or fasciocutaneous flap should be used more often due to its thin thickness , relative ease of dissection, enough length and large diameter of the vascular pedicle and minimal donor-site morbidity.