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纵行腹壁下动脉穿支皮瓣阴道再造术
引用本文:曾昂,乔群,朱琳,方柏荣,白明,张海林,潘博. 纵行腹壁下动脉穿支皮瓣阴道再造术[J]. 中华整形外科杂志, 2009, 25(1). DOI: 10.3760/cma.j.issn.1009-4598.2009.01.003
作者姓名:曾昂  乔群  朱琳  方柏荣  白明  张海林  潘博
作者单位:中国医学科学院北京协和医学院北京协和医院整形外科,北京,100032
摘    要:目的 探讨应用腹壁下动脉穿支皮瓣行阴道再造的新术式. 方法 2007年6月至2008年4月,为5例先天性无阴道、1例阴道癌全切即刻阴道再造患者,应用纵行腹壁下动脉穿支皮瓣行阴道再造术.术前应用增强CT技术选择优势穿支,根据该结果设计皮瓣,大小为(5~6)cm×(18~24)cm. 结果 所有转移皮瓣完全成活.5例患者术后恢复顺利,1例出现会阴切口感染,伤口部分裂开,予以换药愈合.围手术期无明显其他并发症发生.随访1~8个月(平均4个月),再造阴道外口通畅,患者对再造效果满意. 结论 应用纵行腹壁下动脉穿支血管再造阴道是一种安全、可靠的手术方法.

关 键 词:阴道再造术  外科皮瓣

Vaginal reconstruction with pedicled deep interior epigastric perforator flap
ZENG Ang,QIAO Qun,ZHU Lin,FANG Bai-rong,BAI Ming,ZHANG Hai-lin,PAN Bo. Vaginal reconstruction with pedicled deep interior epigastric perforator flap[J]. Chinese journal of plastic surgery, 2009, 25(1). DOI: 10.3760/cma.j.issn.1009-4598.2009.01.003
Authors:ZENG Ang  QIAO Qun  ZHU Lin  FANG Bai-rong  BAI Ming  ZHANG Hai-lin  PAN Bo
Abstract:Objective To explore a new surgical procedure for vaginal reconstruction with pedicled deep inferior epigastric perforator (DIEP) flap. Methods Since June 2007, 6 cases underwent vaginal reconstruction, including five congenital vaginal absence and one immediately after total vaginal resection due to carcinoma. Intensive CT scans were performed preoperatively for perforator selection. The DIEP flaps were designed vertically on the anterior abdominal wall and transferred for vaginal reconstruction. Results All the patients recovered unevenfully with no flap loss and other complication. The patients were followed up for 1 to 8 months(mean, 4 months) with satisfactory results. Conclusion Vaginal reconstruction with vertical DIEP flaps is a safe and reliable method.
Keywords:Vaginal reconstruction  Surgical flap
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