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目的:探讨阔筋膜张肌肌皮瓣转移技术中在腹壁和腹股沟肿瘤扩大切除后巨大缺损一期修复中的应用。方法:2001年8月～2008年5月,我科收治的7例腹壁或腹股沟恶性肿瘤病人在行根治性扩大切除后造成巨大缺损(缺损面积≥80 cm~2),采用带蒂或游离阔筋膜张肌肌皮瓣转移技术进行一期修复。结果:全部病例成功实现一期修复,无手术死亡,仅1例出现少量皮瓣边缘坏死。术后随访3～84个月,2例出现局部复发,未发现有腹壁疝形成。结论:阔筋膜张肌肌皮瓣转移技术是一期修复腹股沟区恶性肿瘤扩大切除所致之皮肤和肌层巨大缺损的理想方法。
OBJECTIVE: To investigate the application of translaminar fasciocutaneous myometrial flap in the first-stage repair of huge defect after the expansion and excision of abdominal wall and groin tumor. METHODS: From August 2001 to May 2008, 7 patients with malignant tumors of the abdominal wall or groin treated in our department caused huge defects (defect area≥80 cm ~ 2) after radical expansion and excision. The pedicle or free width Fascia myofascial flap transfer technique for a repair. Results: All the cases were successfully repaired without surgery, only a small amount of flap edge necrosis occurred in only one case. The patients were followed up for 3 to 84 months. Local recurrence occurred in 2 cases and no abdominal hernia was found. Conclusion: The fascia myocutaneous flap transfer technique is an ideal method to repair the giant defect of the skin and myometrium caused by enlarged resection of malignant tumor in the groin area.