背景:本研究的目的是评估KeystoneDesign穿支岛状皮瓣(KDPIF)重建躯干缺损患者的治疗结果。
方法:2017年1月至2020年6月,通过KDPIF重建了37例符合条件的躯干缺损病例。数据是从电子病历中收集的,包括病因,缺陷的大小和位置,以及应用的KDPIF类型。记录术后并发症,在最后一次临床访视时评估患者满意度.
结果:男性23例,女性14例,平均缺损为8.16×4.94cm。病因包括褥疮(n=12),肿瘤切除术(n=11),感染(n=9)和其他(n=5)。III型应用于19例,IIa型有13例,IV型2例,改良KDPIF3例。3例除延迟愈合或伤口裂开外,无重大并发症,通过常规敷料或二次手术干预进行管理。术后满意度平均得分为8.68±1.13分,所有患者在末次随访时对其外观和功能满意。
结论:KDPIF可以成功重建干线缺陷,这导致满意的美容和功能的结果,没有重大并发症。
BACKGROUND: The aim of this study was to evaluate the treatment outcomes of patients with trunk defects reconstructed by Keystone Design Perforator Island Flap (KDPIF).
METHODS: A total of 37 eligible cases with trunk defects were reconstructed by KDPIF from January 2017 to June 2020. Data were collected from electronic medical records, including aetiology, defect size and location, and type of KDPIF applied. Postoperative complications were recorded, and patient satisfaction was evaluated at the last clinical visit.
RESULTS: There were 23 males and 14 females, and the average defect was 8.16 × 4.94 cm. Etiologies included decubitus ulcer (n = 12), oncologic resection (n = 11), infection (n = 9) and others (n = 5). Type III was applied in 19 cases, Type IIa in 13 cases, type IV in two cases and modified KDPIF in three cases. There were no major complications except delayed healing or wound dehiscence in three cases, which were managed by regular dressing or secondary surgical intervention. The average postoperative satisfaction score was 8.68 ± 1.13 points and all patients were satisfied with their cosmetic appearance and function at the last follow-up.
CONCLUSIONS: Trunk defects can be successfully reconstructed by KDPIF, which results in satisfactory cosmetic and functional outcomes without major complications.