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目的探讨自由设计的穿支皮瓣修复供区创面的效果。方法应用自由设计的穿支皮瓣转位修复供区创面16例。结果术后16例供区创面一期直接关闭,15例自由设计的带蒂皮瓣全部成活。1例尺动脉腕上皮支上行支皮瓣术后48 h色泽变暗,经部分拆线减张及改变上肢放置的体位,皮瓣成活。13例获得随访平均10个月,皮瓣色泽、质地良好,不臃肿,供区外形自然美观。结论实施自由设计的穿支皮瓣修复供区创面,外形自然美观,功能无缺失。
Objective To investigate the effect of free-designed perforator flap for repairing wounds in districts. Methods A total of 16 cases of wounds were treated with free-designed perforator flap transposition. Results After the operation, 16 cases of wounds were directly closed, and 15 cases of free-designed pedicle flaps survived. A case of ulnar artery branch of the wrist on the branch of the epidermis 48 h after the color became darker, part of the stitches and stitches to change the position of the upper limb placement, flap survival. 13 cases were followed up for an average of 10 months, flap color, texture is good, not bloated, for the natural appearance of the area shape. Conclusions The perforator flap designed freely was repaired for the wound surface of the donor area. The appearance of the wound was natural and beautiful with no loss of function.