国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
6期
829-831
,共3页
股前外侧皮瓣%四肢%软组织缺损%修复
股前外側皮瓣%四肢%軟組織缺損%脩複
고전외측피판%사지%연조직결손%수복
Strands of anterolateral flap%Limbs%Soft tissue defect%Repair
目的 探讨应用股前外侧皮瓣移植修复四肢软组织缺损的临床效果,并总结游离股前外侧皮瓣修复四肢大面积软组织缺损的经验.方法 应用吻合血管的股前外侧皮瓣移植修复四肢皮肤软组织缺损17例,8cm× 11cm～14cm×29cm,平均10.78 cm×19.32 cm.结果 术后17例皮瓣全部成活；随访1～2年,效果良好,发生皮瓣外形臃肿3例,经皮瓣削薄整形改善；大部分皮瓣在术后6个月逐渐恢复感觉.结论 股前外侧皮瓣血管解剖恒定,可切取面积较大,部位隐蔽,血运丰富,厚薄适中美观,容易切取,能有效修复四肢皮肤软组织缺损.
目的 探討應用股前外側皮瓣移植脩複四肢軟組織缺損的臨床效果,併總結遊離股前外側皮瓣脩複四肢大麵積軟組織缺損的經驗.方法 應用吻閤血管的股前外側皮瓣移植脩複四肢皮膚軟組織缺損17例,8cm× 11cm～14cm×29cm,平均10.78 cm×19.32 cm.結果 術後17例皮瓣全部成活；隨訪1～2年,效果良好,髮生皮瓣外形臃腫3例,經皮瓣削薄整形改善；大部分皮瓣在術後6箇月逐漸恢複感覺.結論 股前外側皮瓣血管解剖恆定,可切取麵積較大,部位隱蔽,血運豐富,厚薄適中美觀,容易切取,能有效脩複四肢皮膚軟組織缺損.
목적 탐토응용고전외측피판이식수복사지연조직결손적림상효과,병총결유리고전외측피판수복사지대면적연조직결손적경험.방법 응용문합혈관적고전외측피판이식수복사지피부연조직결손17례,8cm× 11cm～14cm×29cm,평균10.78 cm×19.32 cm.결과 술후17례피판전부성활；수방1～2년,효과량호,발생피판외형옹종3례,경피판삭박정형개선；대부분피판재술후6개월축점회복감각.결론 고전외측피판혈관해부항정,가절취면적교대,부위은폐,혈운봉부,후박괄중미관,용역절취,능유효수복사지피부연조직결손.
Objective To explore the methods and clinical effect of strands of anterolateral flap in the treatment of soft tissue defect in limbs.Methods 17 patients with soft tissue defect in limbs accepted strands of anterolateral flap treatment.The damage area was 8 cm × 11 cm to 14 cm × 29 cm,an average of 10.78 cm × 19.32 cm.Results All flaps of 17 cases survived completely after operation.Good effect was obtained after 1 ～ 2 years.However,flap bloated was found in 3 cases,which was improved after flap cut thin plastic.Most of the flap recovered gradually in the following six months after surgery.Conclusion The strands of anterolateral flap is proved to be constant,large,rich in blood,beautiful and easy to moderate,what is the effective method to repair soft tissue defect in limbs.
