不带背阔肌的胸背动脉穿支皮瓣的临床应用

摘要

Objective To analyses the clinical application of thoradorsal artery perforator flaps(TAP).Methods We used free or pedicled TAP flaps in 7 patients from Aug 2006 to April 2007,The age ranged from 7 to 42 years old,the perforator arteries was detected and labeled with a hand held Doppler flowmeter,the size of flaps ranged from 6 cm×9 cm～12 cm×16 cm.the flaps designed with perforator artery included,all the flaps are based on the first perforator artery.Results All the flaps survived well,no complication occurred with lowest donor site morbidity.Conclusions The thoradorsal artery flap with latissimus dorsal muscle saved is a thin and reliable flaps with robust of blood suppiy,the flap can reduce significantly donor site morbidity and is a good choice for reconstructive surgery.%目的 探讨不带背阔肌的胸背动脉穿支皮瓣在临床中的应用.方法 术前常规用多普勒超声探测仪探测穿支点并标记,均选择第1穿支.设计将穿支点包括在内的不带背阔肌的带蒂或胸背动脉穿支游离皮瓣修复四肢或腋窝创面.结果 2006年8月至2007年4月,于临床应用7例.皮瓣大小为6 cm×9 cm～12 cm×16 cm.术后皮瓣均完全成活,供区无血肿、血清肿等并发症发生,供区外形与对侧基本对称.结论 胸背动脉穿支皮瓣保留了背阔肌,皮瓣较薄,血运可靠,能明显降低对供区的损伤,是修复创面的一种良好选择.