中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2011年
3期
201-203
,共3页
高顺红%陈超%焦成%费小轩%孙来卿%张文龙%董惠双%王斌%刘会仁%刘德群
高順紅%陳超%焦成%費小軒%孫來卿%張文龍%董惠雙%王斌%劉會仁%劉德群
고순홍%진초%초성%비소헌%손래경%장문룡%동혜쌍%왕빈%류회인%류덕군
旋股外侧动脉降支%外科皮瓣%小腿%显微外科手术
鏇股外側動脈降支%外科皮瓣%小腿%顯微外科手術
선고외측동맥강지%외과피판%소퇴%현미외과수술
Descendant branch of lateral femoral circumflex artery%Surgical flaps%Legs%Microsurgery
目的 探讨以旋股外侧动脉降支逆行转位供血的游离组织瓣修复严重的小腿创伤伴软组织缺损的临床效果.方法 对小腿软组织损伤严重且无可携带游离组织瓣的血管,以旋股外侧动脉降支的远端为蒂,将其近端与游离组织瓣的动脉吻接,大隐静脉或小隐静脉与游离组织瓣的动脉伴行静脉吻接,2004年10月至2009年12月,采用该方法修复小腿软组织缺损36例,其中携带背阔肌肌皮瓣15例,股前外侧皮瓣12例,胸脐皮瓣9例.结果 36例游离皮瓣(肌皮瓣)均顺利成活,无一例出现血管危象,随访6个月至2.5年,皮瓣外形及功能恢复均较满意.结论 在小腿无可供吻合的血管时,应用以旋股外侧动脉降支逆行转位供血的游离组织瓣修复小腿软组织缺损,是一种切实有效的手术方法.
目的 探討以鏇股外側動脈降支逆行轉位供血的遊離組織瓣脩複嚴重的小腿創傷伴軟組織缺損的臨床效果.方法 對小腿軟組織損傷嚴重且無可攜帶遊離組織瓣的血管,以鏇股外側動脈降支的遠耑為蒂,將其近耑與遊離組織瓣的動脈吻接,大隱靜脈或小隱靜脈與遊離組織瓣的動脈伴行靜脈吻接,2004年10月至2009年12月,採用該方法脩複小腿軟組織缺損36例,其中攜帶揹闊肌肌皮瓣15例,股前外側皮瓣12例,胸臍皮瓣9例.結果 36例遊離皮瓣(肌皮瓣)均順利成活,無一例齣現血管危象,隨訪6箇月至2.5年,皮瓣外形及功能恢複均較滿意.結論 在小腿無可供吻閤的血管時,應用以鏇股外側動脈降支逆行轉位供血的遊離組織瓣脩複小腿軟組織缺損,是一種切實有效的手術方法.
목적 탐토이선고외측동맥강지역행전위공혈적유리조직판수복엄중적소퇴창상반연조직결손적림상효과.방법 대소퇴연조직손상엄중차무가휴대유리조직판적혈관,이선고외측동맥강지적원단위체,장기근단여유리조직판적동맥문접,대은정맥혹소은정맥여유리조직판적동맥반행정맥문접,2004년10월지2009년12월,채용해방법수복소퇴연조직결손36례,기중휴대배활기기피판15례,고전외측피판12례,흉제피판9례.결과 36례유리피판(기피판)균순리성활,무일례출현혈관위상,수방6개월지2.5년,피판외형급공능회복균교만의.결론 재소퇴무가공문합적혈관시,응용이선고외측동맥강지역행전위공혈적유리조직판수복소퇴연조직결손,시일충절실유효적수술방법.
Objective To investigate the therapeutic effect of free tissue flap anastomosed with reverse descendant branch of lateral femoral circumflex artery for severe soft tissue defect at leg. Methods The severe soft tissue defect at leg, without any vessels for anastomosis of free tissue flap, was reconstructed with free tissue flap, which was anastomosed with proximal end of descendant branch of lateral femoral circumflex artery and great saphenous vein. From Oct. 2004 to Dec. 2009, 36 cases were treated with 15 cases of latissimus dorsi musculocutaneous flaps, 12 cases of anterolateral femoral flaps,and 9 cases of thoracoumbilicus flaps. Results All the 36 free flaps survived completely. The patients were followed up for 6 months to 2. 5 years with good cosmetic results. Conclusions It is effective and practical to repair the severe soft tissue defects at legs with the reverse descendant branch of lateral femoral circumflex artery to carry the free flaps.
