下腹部岛状皮瓣修复会阴部瘢痕畸形15例

摘要

目的:总结下腹部岛状皮瓣修复会阴部瘢痕畸形的临床经验.方法:回顾性分析下腹部岛状皮 瓣修复会阴部瘢痕挛缩畸形15例患者的临床资料,单纯采用以旋髂浅动静脉为蒂形成的皮瓣3例、单纯采用腹壁浅动静脉为蒂的皮瓣5例, 两组血管均包括在内的皮瓣7例.结果:所有皮瓣均存活,局部畸形纠正,患者满意,经随访6～48个月,皮瓣色泽良好,质 地柔软,排尿排便功能恢复正常,髋部活动无明显受限.结论:下腹部岛状皮瓣转移术可提高会阴部瘢痕畸形的修复质量.%Objective To evaluate the result of repairing the pudendal scar with low abdomen island flap. Metheods Fifteen cases which have been repaired by three types were summarized,including three cases with the island skin flap pedicled with the superficicel iliac circumflex artery,five cases with the island skin flap pedicled with superficial inferior epigastric artery and seven cases pedicled with both of them. Results All flaps survived satisfactorily.Sufferer approve of the change of local abmormality.Followed up for 6 to 48 months.the contour of skin flap were fine.the form of pudendum.function of emiction and defecate activity were normal. Conclution Low abdomen island flap can improve the quality of repairing the pudendal sea.