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我们采用隐血管神经蒂皮瓣修复一例右大腿外侧大面积皮缺损患者,效果十分满意。患者,男,19岁。因右大腿外侧感染后残留10×14cm 大小皮肤疤痕溃疡。久治未愈,于1987年5月在连续硬膜外麻醉下先行溃疡及疤痕组织切除,采用同侧隐血管神经蒂小腿内侧上部皮瓣顺转修复创面,皮瓣面积为11×15cm。测量蒂长18cm,供皮区另取对侧大腿中厚皮片覆盖,术后12天拆线,皮瓣全部成活,二年后随访受皮区良好。
We use the hemi-neurovascular pedicle flap to repair a large area of lateral thigh defects in the right thigh, the effect is very satisfactory. Patient, male, 19 years old. Due to the left thigh infection after the residual size of 10 × 14cm skin scar ulcer. Jiuzhi healed, in May 1987 under continuous epidural anesthesia first ulcer and scar tissue resection, the use of ipsilateral vaso-neurovascular pedicled upper medial flap flap to repair the wound, the flap area of 11 × 15cm. Measurement of pedicle length 18cm, for the other side of the skin area contralateral thigh thick skin covering, stitches after 12 days, flap all survived, followed up two years after the skin area was good.