Department of Orthopedics, No. 2 People's Hospital of Guangdong Province, Guangzhou, Guangdong, China.
Chin Med J (Engl). 2009 Dec 5;122(23):2861-4.
The perforator flap has become a very useful reconstructive means of soft tissue defect of extremities. The perforator flap from the inguinal region has advantages that include the ability to cover a large area with little donor site morbidity and provision of suitable thickness for reconstruction.
From July 1, 2005 to June 30, 2007, 10 patients with various types of soft tissue defect underwent reconstruction with 10 perforator flaps from the inguinal region. Six flaps were applied to the upper extremities and four flaps to the lower extremities. The dimensions of the transferred flaps ranged from 7-30 cm in length and 4-10 cm in width.
The postoperative course of all 10 flaps was uneventful and all flaps survived. Distal small partial necrosis was observed in one case due to arterial insufficiency of the distal part of the flap. All patients were satisfied with the functional and esthetic resurfacing outcome.
Use of perforator flap from the inguinal region could overcome the disadvantages of the traditional free groin flap, and represents a safe and useful tool for coverage of soft tissue defects.
穿支皮瓣已成为修复四肢软组织缺损的一种非常有用的方法。腹股沟区穿支皮瓣具有以下优点：可使用较小的供区来覆盖较大面积，且供区损伤较小，还可提供适合重建的合适厚度。
2005 年 7 月 1 日至 2007 年 6 月 30 日，10 例各种类型的软组织缺损患者接受了 10 个来自腹股沟区的穿支皮瓣重建。其中 6 个皮瓣用于上肢，4 个皮瓣用于下肢。转移皮瓣的尺寸范围为 7-30cm 长，4-10cm 宽。
所有 10 例皮瓣的术后过程均顺利，所有皮瓣均存活。由于皮瓣远端动脉供血不足，1 例患者远端出现小部分坏死。所有患者对功能和美观的重建效果均满意。
使用腹股沟区穿支皮瓣可以克服传统游离腹股沟皮瓣的缺点，是覆盖软组织缺损的一种安全、有效的工具。
