摘要
临床应用侧胸皮瓣进行带蒂、岛状、吻合血管的游离移植已多年。这一皮瓣具有多血管供血、质地薄软、无毛发生长、供区大而隐蔽及易于直接缝合等突出优点。我们为16名面颈部软组织缺损病例采用吻合血管的侧胸游离皮瓣修复,13例全部成活,3例失败。并对手术适应证和禁忌证、皮瓣的切取方式及范围进行了讨论。术中采用了血液稀释和血管吻合轮技术。
We have applied the lateral thoracic free flap in 16 patients with face and/or neck defects during the past three years. 13 flaps survived completely and 3 flaps failed which were substituted with skin grafting. The lateral thoracic free flap possesses many supplying vessels and its advantages include big size, hairless skin with well matched color and texture and inconspicuous donor site that can be closed directly. The technique of hemodilution and microvascular anastomotic apparatus are introduced. The indications of the flap and the limitation of its size are discussed.
