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目的 总结皮瓣转移术修复儿童会阴部瘢痕畸形的临床经验。方法 回顾性分析皮瓣转移术修复会阴部瘢痕畸形19例患儿的临床资料。其中 ,应用局部皮瓣 8例 ,腹壁下动脉岛状皮瓣 10例 ,软组织扩张术后扩张皮瓣转移 1例 ,皮瓣面积 3cm× 3cm～ 13cm× 10cm ,平均 6 5cm2 。一期手术 14例 ,二期手术 5例。结果 所有皮瓣均成活。经随访 1～ 8年 ,皮瓣色泽良好 ,质地柔韧 ,排尿排便功能恢复正常 ,髋部活动无明显受限。结论 选择适宜的病例和术式 ,应用皮瓣转移术可提高儿童会阴部瘢痕畸形的修复质量。
Objective To summarize the clinical experience of flap transfer for the repair of perineal scar deformity in children. Methods The clinical data of 19 cases of perineal scar deformity repaired by flap transfer were retrospectively analyzed. Among them, there were 8 cases of local flap, 10 cases of inferior abdominal artery island flap, 1 case of dilatation flap after soft tissue dilatation. The flap area was 3cm × 3cm ~ 13cm × 10cm with an average of 65cm 2. A case of surgery in 14 cases, two cases of surgery in 5 cases. Results All flaps survived. After a follow-up of 1 to 8 years, the flap color is good, the texture is pliable, urination and defecation function returned to normal, no significant limitation of hip activity. Conclusion Select the appropriate cases and surgical procedures, the application of flap transfer can improve the repair of perineal scar deformity in children.