Hahn S B, Kim H K
Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
J Reconstr Microsurg. 1991 Jul;7(3):187-95; discussion 197-8. doi: 10.1055/s-2007-1006778.
The authors performed free groin flap transplantation in 36 patients with extensive soft-tissue injury of the extremities. In each case, the vascular anatomy of the groin flap was analyzed during the operation. The anatomic classification of the superficial circumflex iliac artery according to its origin was as follows: a common origin with the superficial inferior epigastric artery in 15 cases (39.5 percent); an isolated origin and absent superficial inferior epigastric artery in 14 cases (36.8 percent), a separate origin in three cases (7.9 percent), and an origin from the profunda femoral artery in six cases (15.8 percent). These results are similar to those reported previously. The overall success rate was 72.2 percent. The success rate was better in the upper extremity (100.0 percent) than in the lower extremity (65.5 percent). Free vascularized groin flap transplantation is a suitable procedure for the one-stage reconstruction of severe soft-tissue injury, especially in the upper extremity.
作者对36例四肢广泛软组织损伤患者进行了腹股沟游离皮瓣移植。在每例手术中，均对腹股沟皮瓣的血管解剖结构进行了分析。根据旋髂浅动脉的起源，其解剖学分类如下：与腹壁下浅动脉共起源15例（39.5%）；单独起源且腹壁下浅动脉缺如14例（36.8%），单独起源3例（7.9%），起源于股深动脉6例（15.8%）。这些结果与先前报道的结果相似。总体成功率为72.2%。上肢成功率（100.0%）高于下肢（65.5%）。游离血管化腹股沟皮瓣移植是严重软组织损伤一期重建的合适方法，尤其是在上肢。
