目的:探讨吻合血管的游离肋骨-前锯肌-皮肤复合组织瓣修复大面积颅骨缺损的临床应用价值 .方法:设计以胸背血管为营养血供的游离肋骨-前锯肌-皮肤复合组织瓣,用以修复大面积颅骨缺损10例.结果:10例患者,组织瓣完 全成活9例,坏死1例.随访1～10年,患者术后外观满意,无感染、皮下积液等并发症发生.结论:游离肋骨-前锯肌-皮 肤复合组织瓣可以很好地完成大面积颅骨缺损的修复,是一种理想的自体修复材料.%Objective To investigate the application of rib-anterior serratus muscle-skin composite flap in reconstruction of large skull defect. Methods Ten cases of large skull defect were repaired using revascalarized rib-anterior serratus muscle-skin composite flap.which blood supply was chest-ridge blood vessels. Results The composite tissue flap survived with primary healing in 9 cases.while necrosis occurred at one case. From 1 to 10 years follow-up, the postoperative appearance was satisfactory.and no complications such as infection and subscalp hydrops were found. Conclusions The free rib-anterior serratus muscle-skin composite flap is an ideal autogenous repair material,which can be best used in reconstruction of large skull defect.
展开▼
