游离腹壁下动脉穿支皮瓣及游离股前外侧穿支皮瓣修复胸壁皮肤软组织缺损1例报告

doi:10.13481/j.1671-587x.20170431

吉林大学学报(医学版) ›› 2017, Vol. 43 ›› Issue (04): 826-828.doi: 10.13481/j.1671-587x.20170431

游离腹壁下动脉穿支皮瓣及游离股前外侧穿支皮瓣修复胸壁皮肤软组织缺损1例报告

王振兴¹, 李云鹏², 许哲男¹, 杨亮亮¹, 王图慧¹, 王跃¹

1. 吉林大学中日联谊医院胸外科, 吉林长春 130033;
2. 吉林省通化市中心医院胸外科, 吉林通化 134000

收稿日期:2016-11-07 出版日期:2017-07-28 发布日期:2017-08-01
通讯作者: 王跃,副教授,副主任医师,硕士研究生导师(Tel:0431-84995865,E-mail:200804352@qq.com) E-mail:200804352@qq.com
作者简介:王振兴(1986-),男,吉林省磐石市人,主治医师,在读医学博士,主要从事胸部肿瘤的外科治疗和综合治疗方面的研究。
基金资助:
吉林省卫计委科研基金资助课题（2015Q018）

Free DIEP and ALTP flaps in repairing skin and soft tissue defects in chest wall:A case report

WANG Zhenxing¹, LI Yunpeng², XU Zhenan¹, YANG Liangliang¹, WANG Tuhui¹, WANG Yue¹

1. Department of Thoracic Surgery, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
2. Department of Thoracic Surgery, Central Hospitalof Tonghua City, Tonghua 134000, China

Received:2016-11-07 Online:2017-07-28 Published:2017-08-01

摘要/Abstract

摘要： 目的：探讨应用游离腹壁下动脉穿支（DIEP）皮瓣及游离股前外侧穿支（ALTP）皮瓣修复胸壁肿瘤切除遗留皮肤软组织缺损的临床疗效。方法：对吉林大学中日联谊医院收治的1例老年男性胸壁恶性纤维组织细胞瘤术后患者，先后2次采取手术将肿瘤扩大切除，术后遗留胸壁缺损创面分别为10cm×10cm及18cm×14cm，分别采用游离DIEP皮瓣及游离ALPT皮瓣移植修复缺损，转移后血管蒂分别与胸廓内动脉及胸外侧动脉吻合。结果：术后供区直接拉拢缝合。2处皮瓣均全部成活，外观良好，与DIEP皮瓣比较，ALPT皮瓣外观平整，质地和皮色与胸壁受区周围皮肤更加接近。结论：游离DIEP皮瓣和游离ALPT皮瓣是修复男性胸壁肿瘤切除术后皮肤及软组织缺损的理想选择之一。

关键词: 胸壁缺损, 游离腹壁下动脉穿支皮瓣, 游离股前外侧穿支皮瓣

Abstract: Objective: To summarize the therapeutic effect of free deep inferior epigastric perforator (DIEP) flap and anterolateral thigh perforator (ALTP) flap in repairing skin and soft tissue defects in chest wall tumor resection.Methods: One old male patient with malignant fibrous histiocytoma of chest wall in China-Japan Union Hospital received operation,and the tumor was extendedly resected.The remaining chest wall defects were 10 cm×10 cm and 18 cm×14 cm,respectively.Free DIEP and ALTP flaps were used to repair the defects,and vascular pedicle was anastomosed with internal mammary artery and thoracic lateral artery,respectively.Results: After operation,the donor area was sutured directly,and two flaps survived with good appearance. The skin of ALTP flap was flatter than that of DIEP flap,and the texture and color of skin were close to those around chest wall.Conclusion: Free DIEP and ALTP flaps are ideal choice for repairing skin and soft tissue defects after resection in the male patient with chest wall tumor.

Key words: chest wall defects, free deep inferior epigastric perforator flap, free anterolateral thigh perforator flap

中图分类号:

R622.1

王振兴, 李云鹏, 许哲男, 杨亮亮, 王图慧, 王跃. 游离腹壁下动脉穿支皮瓣及游离股前外侧穿支皮瓣修复胸壁皮肤软组织缺损1例报告[J]. 吉林大学学报(医学版), 2017, 43(04): 826-828.

WANG Zhenxing, LI Yunpeng, XU Zhenan, YANG Liangliang, WANG Tuhui, WANG Yue. Free DIEP and ALTP flaps in repairing skin and soft tissue defects in chest wall:A case report[J]. Journal of Jilin University Medicine Edition, 2017, 43(04): 826-828.

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游离腹壁下动脉穿支皮瓣及游离股前外侧穿支皮瓣修复胸壁皮肤软组织缺损1例报告

Free DIEP and ALTP flaps in repairing skin and soft tissue defects in chest wall:A case report

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