岛状股前外侧穿支皮瓣修复会阴部软组织缺损

目的探讨岛状股前外侧穿支皮瓣修复会阴部软组织缺损的临床疗效。方法 2009年至2013年,共收治8例会阴部缺损患者,创面预处理后,以岛状股前外侧穿支皮瓣带蒂转移修复创面,皮瓣面积7.0 cm×10.0 cm~13 cm×21 cm。供区直接拉拢缝合或取对侧股部断层皮片移植修复。结果 8例患者术后皮瓣均完全成活,皮瓣质地柔软,无继发瘢痕挛缩。随访6~24个月,肿瘤无复发,供区愈合良好,无下肢活动障碍。结论应用岛状股前外侧皮瓣修复会阴区缺损,效果良好,值得临床推广。

Pedicle Anterolateral Thigh Perforator Flap for Repairing Perineal Defection

Objective To explore the clinical effects of pedicle anterolateral thigh perforator flap for repairing soft tissue defects of perinescrotal. Methods From 2009 to 2013, the soft tissue defects of perinescrotal in 8 cases were pre-treated and then repaired with pedicle anterolateral thigh perforator flap. The flap size varied from 7.0 cm ×10.0 cm to 13.0 cm×21.0 cm. The secondary defect of donor site was directly sutured or repaired by split-skin grafts on opposite side. Results All of the 8 flaps survived successfully. The flaps were soft with no secondary scar contracture. All the patients were followed up for 6 months to 2 years. There were no recurrence of tumors in 2 years. The donor sites were well healed and no movement disorder of lower limb was observed. Conclusion It is an ideal election for repairing perineal defection by using pedicle anterolateral thigh perforator flap, and is worthy of clinical promotion.