改进的桥式吻合血管背阔肌穿支皮瓣移植的临床应用

改进的桥式吻合血管背阔肌穿支皮瓣移植的临床应用

张功林;丁法明;王锦华;郭翱;陈克明;郑良君;汪龄剑

【期刊名称】《中华全科医师杂志》 【年(卷),期】2010(009)003

【摘要】From September 2006 to January 2008,5 patients with soft tissue defect of the legununderwent reconstruction with the improved bridge anastomosis vascular latissimus dorsi muscle perforatorflflaps transplantation. The latissimus dorsi muscle perforator flaps was elevated with subscapular andcicircumflex scapular vessels. The vascular pedicle

of

the

latissimus

dorsi

muscle

perforator

flaps

wereananastomosed to the two vascular ends of the posterior tibial artery of contralateral leg by end-to-endananastomosis. The flaps survived completely after transplantation. Patients were followed up for 8 months -33. 5 years ( mean 2. 7 years) postoperatively. There was no remarkable donor site morbidity, Dopplereexamination showed the patency of the posterior tibial artery of contralateral legs. This technique ispparticularly useful in leg reconstructive surgery when only one vessel remains. The patency of the posteriortibial artery of contralateral leg is preserved in transplantation of the bridge free flap.%应用改进的桥式吻合血管背阔肌穿支皮瓣移植方法,修复5例小腿软组织缺损.皮瓣切取连带肩胛下与旋肩胛血管,与健侧小腿胫后动脉行端端吻合.皮瓣全部成活,术后随访8个月～3.5年(平均2.7年),无明显的供区功能障碍.健侧小腿经临床观察与Doppler检