以颞浅动、静脉为携带血管的扩张预制皮瓣的临床应用

目的综合应用血管移植和组织扩张技术,将任意型皮瓣转化为可以带蒂移转或游离移植的轴型皮瓣,用于缺损的修复或器官再造。方法将颞浅动、静脉筋膜岛状瓣移转至颈部,其下埋置扩张器,进行皮肤扩张后,以颞浅动、静脉为蒂,形成岛状预制皮瓣。结果自1996年以来,为8例面、颈部严重烧伤的患者形成颈部扩张预制皮瓣,带蒂移转,无血运障碍等并发症发生,获得满意效果。结论在局部无可资利用的轴型皮瓣,不能满足缺损修复与器官再造的需要时,以颞浅动、静脉为携带血管的扩张预制皮瓣技术是一种值得考虑的、效果可靠的手术方法。

Clinical use of the prefabricated expanded island skin flap

Objective This is to introduce the applications of the prefabricated expanded island skin flap based on a fasciovascular pedicle.Methods The superficial temporal vessel was transferred to the cervical region and an expander was buried under it.When the expander was fully expanded,an island skin flap was elevated and transferred based on the fasciovascular pedicle.Eight patients were treated with this method since 1996.Results All the flaps survived without necrosis.Conclusion The island skin flap prefabricated in this manner has rich blood supply and can be transferred safely.It is useful in plastic and reconstructive surgery,especially for the severe burned patients whose normal skin is insufficient.