岛状皮瓣修复体表恶性肿瘤切除后的缺损

目的探讨岛状皮瓣修复体表恶性肿瘤切除术后皮肤、软组织缺损的临床效果。方法应用主干动脉岛状皮瓣和穿支血管岛状皮瓣修复不同部位的体表恶性肿瘤切除术后遗留皮肤和软组织缺损，共修复5例，其中2例在面部，2例在四肢，1例在胸壁。结果5例中，采用主干动脉岛状皮瓣移植修复1例，采用穿支血管岛状皮瓣移植修复4例，5例移植皮瓣全部成活。随访1～5年，除1例肿瘤切除后5年复发外，其余没有复发。缺损修复部位形态和功能良好，岛状皮瓣供区无功能缺损和障碍。结论选择主干动脉岛状皮瓣，尤其选择穿支血管岛状皮瓣修复体表恶性肿瘤切除术后缺损，是一成功率高，术后功能和形态良好，供区损害较小的手术方法。

Repair of defect induced by removal of body surface malignancy with island skin flap

Objective To study the clinical efficacy of island skin flap in the repair of skin and subcutaneous soft tissue defects caused by excision of malignant tumour in the skin. Methods Island skin flaps with the main artery and its penetrating branches were used to repair the skin and soft tissue defects in different sites after malignant tumour removal. A total of 5 cases were repaired, in which 2 cases were in the face, 2 in limb and one in wall of the chest. Results Among the 5 cases, one was repaired with island skin flaps with the main artery, and another 4 were repaired with island skin flaps with the penetrating arteries. Follow-up for one to 5 years showed that the appearance and function in the repaired sites were normal without blood flow disturbance and dysfunction of the island skin flap, and no recurrence of the tumors except one case. Conclusion The island skin flap with main artery, especially one with its penetrating branches, is a good option to repair the defect caused by removal of malignant tumors with high rate of success, better appearance and minor damage to the donor site.