腹直肌肌肉瓣、肌皮瓣臨床應用之多變性－七病例報告

腹直肌以其豐富之血管供應及涵蓋廣泛的表皮範圍，常在臨床上被利用來作為胸廓、乳房以及人體其他部位的重建。台中榮民總醫院向民國七十八年九月至七十九年九月間利用單側腹直肌肌肉或肌皮瓣以局部轉移或游離皮瓣轉移的方式成功的重建了包括腹部、腹股溝、會陰部以及下肢等七個病例。我們發現這個皮瓣涵蓋面積廣泛而穩定，可塑性高，而且剝離時快速容易。它的血管莖長而且管徑粗，作為游離皮瓣的血管吻合時相當穩定。在追蹤期間病急的腹壁功能沒有顯著的受影響。因此我們建議推廣這個皮瓣在臨床上的應用。

關鍵字

無資料

並列摘要

The rectus abdominis muscle, due to its strategic location in the abdomen with its dual blood supply and wide arc of transposition, is ideally suited to repair defects over the chest, abdomen, groin and perineum. The muscle is generally based on the superior epigastric artery, deep inferior epigastric artery and their associated capillary communications. From September 1989 to September 1990, at Taichung Veterans General Hospital, seven cases were presented utilizing unilateral rectus abdominis muscle or myocutaneous flap for local or free tissue transfer. The recipient areas included abdomen, groin, perineum, lower leg and a penis reconstruction. Of all flaps that survived, one developed minor skin necrosis causing urethral orifice stricture and urethroDepartment cutaneous fistula that later required repair. All cases achieved the surgical goals. There was no donor site infection, nor abdominal wall herniation but persisted wound pain in 2 cases was noted during the follow-up period. All patients resumed daily activity without limitation about six weeks postoperatively. The large skin territory with abundant soft tissue offers versatile flap design. The dissection is simple, speedy and straight foreward. The deep inferior epigastric vessels are long and their calibers are suitable for vascular anastomosis. Usually, the donor sites are primary closed. We recommend this flap as one to be considered in reconstruction planning and as a donor material for free tissue transfer.

並列關鍵字

rectus abdominis flap ； soft tissue reconstruction ； penile reconstruction

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腹直肌肌肉瓣、肌皮瓣臨床應用之多變性－七病例報告

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