论文部分内容阅读
目的探讨腹壁浅血管超灌注的腹壁轴型皮瓣应用于女阴恶性肿瘤广泛切除后即时重建的可能性。方法女阴癌行广泛全女阴切除和淋巴清扫后,根据女阴创面的大小和形状,设计以腹壁浅血管为轴的腹壁皮瓣。皮瓣的范围可超越腹壁浅血管的供血范围和跨越腹中线,以腹壁浅动脉起始部为旋转点向下转移修复全女阴创面,腹壁供瓣区作局部整形缝合加部分中厚植皮。结果临床应用2例,皮瓣100%成活,色泽形态及功能酷似正常。供区愈合良好。结论腹壁浅动脉超灌注的腹壁轴型皮瓣血运良好、成活率高、抗感染力强,可为全女阴的修复再造开辟一条新的途径。
Objective To investigate the possibility of immediate reconstitution after extensive resection of female vulgar malignant tumors using abdominal wall superficial percutaneous superficial percutaneous transcutaneous flap. Methods Female vulva cancer was performed extensively after vulva excision and lymphadenectomy. According to the size and shape of vulva wounds, an abdominal wall flap was designed based on the superficial abdominal wall. The scope of the flap can surpass the blood supply range of the superficial abdominal wall and cross the midline of the abdomen. The inferior epigastric superficial artery can be used as the point of rotation to transfer and repair the entire vulva wound, and the abdominal wall can be used for partial plastic suturing and partial thickness grafting. Results The clinical application of 2 cases, flap 100% survival, color and shape resembles normal function. The donor area healed well. Conclusion The abdominal wall superficial percutaneous superficial percutaneous superficial percutaneous axial flap has good blood supply, high survival rate and strong anti-infective ability, which can open up a new way for the repair and reconstruction of the entire female vulva.