Zhang Gong-Lin, Zhen Ping, Chen Ke-Ming, Zhao Lai-Xu, Yang Jun-Lin, Zhou Jan-Hua, Xue Qin-Yi
General Hospital of Lanzhou Military Area, Gansu, China.
Zhongguo Gu Shang. 2014 Sep;27(9):775-7.
To report the clinical application results of free deep inferior epigastric perforator flap in the repair of soft tissue defect.
From January 2006 to January 2012,13 patients with soft tissue defect (7 cases in leg and 6 cases in forearm) underwent reconstruction with a free deep inferior epigastric perforator flap. There were 9 males and 4 females, aged from 21 to 45 years old with an average of 33 years. Soft tissue defect in the extremities were from 7 cm x 17 cm to 8 cm x 26 cm. The medial branch and lateral brangh flaps were 7 cases and 6 cases respectively. The donor site was closed directly.
One patient developed small wound dehiscence, which spontaneous healed at one month after surgery. All the flaps had survived completely. Follow-up period ranged from 1.8 to 4.0 years with the mean of 2.8 years postoperatively. Satisfactory clinical results were obtained in 12 cases. A good contour was confirmed at the recipient area.
The free deep inferior epigastric perforator flap for the extremities defects of soft tissue is a good option. This technique is safe and reliable, and can decrease the injury of donor site.
报道游离腹壁下深动脉穿支皮瓣修复软组织缺损的临床应用效果。
2006年1月至2012年1月，13例软组织缺损患者（7例在小腿，6例在前臂）接受游离腹壁下深动脉穿支皮瓣修复重建。男9例，女4例，年龄21～45岁，平均33岁。四肢软组织缺损范围为7 cm×17 cm至8 cm×26 cm。采用内侧支皮瓣7例，外侧支皮瓣6例。供区直接缝合关闭。
1例患者出现小的伤口裂开，术后1个月自行愈合。所有皮瓣均完全存活。随访时间为术后1.8～4.0年，平均2.8年。12例临床效果满意。受区外形良好。
游离腹壁下深动脉穿支皮瓣是修复四肢软组织缺损的良好选择。该技术安全可靠，可减少供区损伤。
