带膝上外侧动脉蒂逆行股前外侧岛状皮瓣和肌皮瓣临床应用  

CLINICAL APPLICATION OF THE REVERSED ANTEROLATERAL THIGH ISLAND FLAP AND MUSCULOCUTANEOUS FLAP

作　　者：宁金龙[1] 展望[1] 李晓静[1] 张林[1] 

机构地区：[1]安徽医科大学附属医院整形外科

出　　处：《中华显微外科杂志》1996年第2期91-93,共3页Chinese Journal of Microsurgery

摘　　要：目的：报道带膝上外侧动脉蒂逆行股前外侧皮瓣修复膝关节周围组织缺损的结果。方法：应用股前外侧皮瓣和肌皮瓣逆行转移修复膝关节周围缺损，该皮瓣以膝上外侧动脉为蒂，通过膝上外则动脉与旋股外侧动脉降支之间的吻合支营养股前外侧皮瓣，血供丰富。皮瓣大小１２～１５ｃｍ×３～７ｃｍ，供区均原位缝合，结果：修复膝关节周围缺损４例，小腿淋巴水肿桥接淋巴通道１例，皮瓣均成活。术后外形及功能恢复良好。结论：作者认为该皮瓣是膝关节周围组织缺损修复较为理想的方法。Objective:To report the clinical application of the reversed anterolateral thigh is- land flap pedicled with the lateral superior genicular artery in repair of the defects around the knee joints。Methods:The reversed anterolateral thigh ixland flap and musculocutaneous flap were used to repair of the defects around the knee joint.The blood supply of reversed island flap is from the lateral superior genicular artety,as the lateral superior genicular artery anastomosis with the distal end of the descending branch of the lateral circumflex femoral artery。The flaps were 12～15 cm × 3～7cm size and donor sites were usually closed primarily;Results:4 cases of defects around the knee joint and 1 case of lymphoedema of the leg were repaired with this methods。All flaps survived completely and postopera- tive recovery was uneventful.Conclusions:The authors consider that this operative method proved to be quite ideal and applicable to defects around the knee joints。

关 键 词：外科皮瓣 岛状皮瓣 肌皮瓣 皮瓣移植 

分 类 号：R622.1[医药卫生—整形外科] R658.3[医药卫生—外科学]