摘要
应用胸脐皮瓣游离移植修复颈部、手部严重烧伤瘢痕畸形8例,胸脐岛状皮瓣修复先天性阴道闭锁及硫酸烧伤后遗严重会阴部瘢痕、阴茎大部分软组织缺损伴严重漏尿各1例均获成功。该皮瓣解剖恒定、血管口径粗,易于吻接,皮瓣面积大、色泽与颈部皮肤相似是修复颌颈部及四肢软组织缺损的理想供区。皮瓣血管蒂长、血运丰富、移转方便,适合作逆行岛状瓣修复会阴部组织缺损、阴茎再造或阴道成形术。
Since 1987 we have successfully used thoracoumbilical skin flaps as free transplants to repair 8 cases of severe burn scar deformities of jaw-neck and hand re- gions, thoraco-umbilical insular skin flaps to each case of congenital vaginal atresia, se- vere vulval scar due to sulfuric acid burn and large penal tissue defect accompanide with severe urethral leakage. This flap has the following advantages: namely definite anatom- ical position, larger vascular diameter, fight large skin flap area, and similar skin com- pletion as that of the jaw-neck region. Therefore they are the ideal substitute for the re- pair of soft tissue defects of iaw-neck region as well as extremities. The flap has long vascular pedicle, abundant vascularization, easy transportation and it is suitable to be a retrograde insalar flap for repairing of vulval tissue defect, reformed penial vaginplasty.
