带血管蒂的阔筋膜皮瓣的临床应用  

Clinical application of the fascia lata flap

作　　者：范启申[1] 泮兆勋 魏长月[1] 李忠[1] 张希利 

机构地区：[1]山东潍坊中国人民解放军第八九医院创伤骨科中心,261200

出　　处：《中华整形烧伤外科杂志》1993年第6期433-434,478-479+484,共2页

摘　　要：阔筋膜张肌肌皮瓣因包含肌肉,皮瓣较为臃肿,临床应用受限。我们为此将其血供动脉即旋股外侧动脉升支解剖至进入阔筋膜张肌肌门处后,辨明上、中、下3个分支,结扎上、中支及切断相应的肌肉。制成为以下支为血供的阔筋膜皮瓣。皮瓣内包含长而粗且恒定的股外侧皮神经。因此该筋膜皮瓣可以满足修复皮肤缺损并同时重建感觉功能的需求。临床应用已15例,取得了较好效果。The clinical application of the musculo-cutaneous flap of museulus tensor fascia lata has been limited because it includes muscle and it is very thick. To correct this disadventage, the ascending branch of the lateral femoral circumflex artery, which is the supplying artery, is dissected up to its entrance into the tensor muscle of the fascia lata, then the upper, middle and lower branches were identified, and the upper and middle branches are ligated, followed by resection of the muscle, resulting in a fascia lata flap supplied by the lower branch only. The flap contains the lateral femoral cutaneous nerve. It is a good flap to repair a defect of skin and to restore sensory function at the same time. It has been used in 15 cases with good effect.

关 键 词：阔筋膜张肌 肌皮瓣 皮瓣 临床应用 

分 类 号：R622.1[医药卫生—整形外科]