Wael Mohamed Ayad, Mohamed Osama Ouf, Tarek Zayid, Ahmed I Rashed
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引用次数: 0
摘要
背景：上肢组织重建是实现稳定覆盖和功能恢复的重要挑战。本研究评估了游离肩胛旁（PS）皮瓣和游离旋髂浅动脉穿支（SCIP）皮瓣在上肢缺损重建中的效果，比较了它们的独特特征、美学结果和并发症。方法：于2023年2月至2025年2月在某三级医院进行前瞻性临床试验，20例患者分为2组：10例接受PS皮瓣（A组），10例接受SCIP皮瓣（B组）。收集和分析皮瓣特征、手术时间、供区发病率和美学结果的数据。结果：A组皮瓣长度（18.4±6.9比9.2±3.2 cm）、蒂长度（8.6±1.6比5.64±0.82 cm）、蒂直径（3.19±1.02比0.77±0.2 mm）明显增大（P = 0.03），手术时间（334.3±40.03比413.6±85.3 min, P = 0.01）。美学结果具有可比性。并发症很少，A组有1个皮瓣完全丢失，b组有部分坏死。结论：PS和SCIP皮瓣都是上肢重建的可靠选择。PS皮瓣提供更大的蒂尺寸，而SCIP皮瓣可以缩短手术时间和隐藏供区。
Free Parascapular Flap Versus Free Superficial Circumflex Iliac Artery Perforator Flaps in Upper Limb Reconstruction.
Background: Upper limb tissue reconstruction poses significant challenges in achieving stable coverage and functional restoration. This study evaluated the efficacy of the free parascapular (PS) flap and the free superficial circumflex iliac artery perforator (SCIP) flap for upper extremity defect reconstruction, comparing their unique characteristics, aesthetic outcomes, and complications.
Methods: A prospective clinical trial was conducted at a tertiary care hospital between February 2023 and February 2025, involving 20 patients who were divided into 2 groups: 10 received PS flaps (group A) and 10 received SCIP flaps (group B). Data on flap characteristics, operative time, donor-site morbidity, and aesthetic outcomes were collected and analyzed.
Results: Group A flaps exhibited significantly greater flap lengths (18.4 ± 6.9 versus 9.2 ± 3.2 cm), pedicle lengths (8.6 ± 1.6 versus 5.64 ± 0.82 cm), and pedicle diameters (3.19 ± 1.02 versus 0.77 ± 0.2 mm) (P < 0.001). SCIP flaps offered logistical advantages, including supine positioning and consistent use of a 2-team approach (100% versus 50%, P = 0.03), with shorter operative times (334.3 ± 40.03 versus 413.6 ± 85.3 min, P = 0.01). Aesthetic outcomes were comparable. Complications were infrequent, with 1 total flap loss in group A and partial necrosis in group B.
Conclusions: Both PS and SCIP flaps are reliable options for upper limb reconstruction. PS flaps offer larger pedicle dimensions, whereas SCIP flaps enable shorter operative times and concealed donor sites.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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