腹壁下动脉穿支皮瓣游离移植修复四肢软组织缺损

目的：报告腹壁下动脉穿支皮瓣游离移植修复四肢组织缺损临床应用结果。方法：自2006年1月至2012年1月,应用腹壁下动脉穿支皮瓣带蒂移植修复小腿（7例）和前臂（6例）软组织缺损13例,其中男9例,女4例;年龄21-45岁,平均33岁。软组织缺损范围7 cm×17 cm-8 cm×26 cm。外侧支和内侧支穿支皮瓣分别是7例和6例。供区直接缝合。结果：1例皮瓣发生小的皮缘裂开,术后1个月自然愈合,皮瓣全部成活。术后随访1.8-4.0年,平均2.8年,受区外形较好。结论：腹壁下动脉穿支皮瓣游离移植很适宜修复四肢软组织缺损,这种技术安全、可靠,可降低对供区的损伤。

Repair of limb soft tissue defect with free deep inferior epigastric perforator flap

Objective: To report the clinical application results of free deep inferior epigastric perforator flap in the repair of soft tissue defect. Methods: From January 2006 to January 2012, 13 patients with soft tissue defect(7 cases in leg and 6 cases in forearm) underwent reconstruction with a free deep inferior epigastric perforator flap. There were 9 males and 4 females, aged from 21 to 45 years old with an average of 33 years. Soft tissue defect in the extremities were from 7 cm×17 cm to 8 cm×26 cm. The medial branch and lateral brangh flaps were 7 cases and 6 cases respectively. The donor site was closed directly. Results: One patient developed small wound dehiscence, which spontaneous healed at one month after surgery. All the flaps had survived completely. Follow-up period ranged from 1.8 to 4.0 years with the mean of 2.8 years postoperatively. Satisfactory clinical results were obtained in 12 cases. A good contour was confirmed at the recipient area. Conclusion: The free deep inferior epigastric perforator flap for the extremities defects of soft tissue is a good option. This technique is safe and reliable, and can decrease the injury of donor site.