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題 名 | The Deep Inferior Epigastric Artery Free Skin Flap: Experience of Four Cases=深腹壁下動脈皮瓣--四病例報告 |
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作 者 | 陳志誠; 楊菘宇; 曾繁穎; 謝禎祥; 林煌基; 蔡裕銓; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 3:4 1994.12[民83.12] |
頁 次 | 頁193-200 |
分類號 | 416.413 |
關鍵詞 | DIEA; Deep inferior epigastric artery; Skin flap; |
語 文 | 英文(English) |
中文摘要 | 深腹壁下動脈皮瓣是由於克服傳統腹直肌肌皮瓣的肥大問題而產生的。於1989年Dr Koshima及Soeda也首先提出一塊不帶腹直肌僅經由一條臍旁肌皮穿通動脈來供應的深腹壁下動脈皮瓣。此外Dr Itph於1993年更證實了經由切除大量的脂肪組織,它可以是一塊相當薄的皮瓣。我們利用此皮瓣來重建四個患者分別於臉頰,前臂,手腕及足背的缺損,得到兩個完全存活,一個部份邊緣皮瓣壞死,及一個遠位半塊皮瓣壞死的結果。我們選擇此塊大面積的皮瓣基於以下的優點:厚度很小,長及大口徑的血管,術中不須更換患者姿勢,和一個隱藏的腹部供皮疤痕。如同Koshima所提,我們亦經歷了分離深腹壁下動脈之肌皮穿通動脈的困難。然而明顯的此塊深腹壁下動脈皮瓣確實克服了傳統腹直肌肌皮瓣的缺點。 |
英文摘要 | The deep inferior epigastric artery free skin flap was originated from the conventional rectus abdominis musculocutaneous flap to overcome the problem of bulk.A deep inferior epigastric artery skin flap surviving on a single paraumbilical muscular perforator without rectus abdominis muscle was first reported by Koshima andSoeda in 1989. Moreover, it was proved by ltoh in 1993 that by excising a largevolume of subcutaneous fatty tissues, this flap can be extremely thinned. We haveused this free skin flap in four of our patients for resurfacing the defects over cheek,forearm, wrist and dorsal foot, with two uneventful, one partial edge necrosis andone distal half flap necrosis results. No postoperative abdominal herniation of donorsite was experienced within a follow-up period from six to ten months. We chosethis large territory skin flap for its advantages of small thickness, long and large-caliber pedicle, no need of intra-operative reposition and a nonexposed donorscar. As adisadvantage described by Koshima, we also faced the difficulty in dissecting theperforators. Obviously this flap largely overcomes the problems of conventional rectus abdominis musculocutaneous flap. |
本系統中英文摘要資訊取自各篇刊載內容。