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[腹股沟外侧皮瓣在会阴区修复重建手术中的应用]

[Application of a lateral groin flap in reconstructive and reparative surgery of the perineal region].

作者信息

Sun G C

出版信息

Zhonghua Wai Ke Za Zhi. 1989 Apr;27(4):225-7, 254.

PMID:2805991
Abstract

Since March 1983, the authors have applied three types of lateral groin flap to reconstruct the external genitals and to repair skin defects in the perineal region in 16 cases. (1) A single lateral groin flap was used to construct vagina in two patients; (2) A composite flap containing iliac crest bone was applied to reconstruct penis in 11 cases; (3) A coaxial pedicle flap of the lateral groin and lower abdominal area was used to repair skin defects of the penis and scrotum in two cases, and to relieve postburn scar contracture in the perineal region in another. 14 flaps survive completely with satisfactory results. 70 per cent of 1 composite flap was lost because of hematoma. The distal portion (3 x 5 cm) of 1 single flap necrosed due to injury of the deep branch of SCIA during operation and resurfaced with a free skin graft, final result is fair.

摘要

自1983年3月以来,作者应用三种类型的腹股沟外侧皮瓣对16例患者进行外生殖器重建及会阴区皮肤缺损修复。(1)采用单块腹股沟外侧皮瓣为2例患者构建阴道;(2)应用含髂嵴骨的复合皮瓣为11例患者重建阴茎;(3)应用腹股沟外侧与下腹部同轴蒂皮瓣,2例用于修复阴茎和阴囊皮肤缺损,另1例用于缓解会阴区烧伤后瘢痕挛缩。14块皮瓣完全存活,效果满意。1块复合皮瓣因血肿70%坏死。1块单瓣远端(3×5cm)因术中旋髂浅动脉深支损伤而坏死,后行游离皮片移植修复,最终效果尚可。

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Zhonghua Wai Ke Za Zhi. 1989 Apr;27(4):225-7, 254.
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