桥式交叉逆行股前外侧皮瓣转移修复对侧小腿中下段软组织缺损  

The distally based cross-leg anterolateral thigh flap for reconstruction of soft tissue defects in middle and distal thirds of the contralateral leg

作　　者：刘生和[1] 蔡培华[1] 柴益民[1] 徐铮宇[1] 江潮胤[1] 范存义[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《中华显微外科杂志》2009年第1期29-31,I0003,共4页Chinese Journal of Microsurgery

基　　金：上海市科学技术委员会科研计划项目（074119650）

摘　　要：目的报道以桥式交叉逆行股前外侧皮瓣转移修复对侧小腿软组织缺损的方法和效果。方法对于小腿中下段皮肤软组织缺损伴对侧小腿软组织损伤或胫后动脉破坏5例．采用对侧逆行股前外侧皮瓣桥式交叉转移予以修复。结果术后皮瓣血运良好，6周后断蒂，皮瓣均存活。术后随访12—15个月，皮瓣质地优良、外形美观，伴骨骼、肌腱缺损者均顺利完成二期修复手术。供区愈合良好，供侧肢体无明显影响。结论对于小腿中下段较大面积皮肤软组织缺损伴周围软组织受损，且对侧小腿血管质量不佳的病例，以对侧逆行股前外侧皮瓣桥式交叉转移修复是一种优良的手段。Objective To report the technique and effect of distally based, cross-leg, anterolateral thigh flap for reconstructing the soft tissue defects in middle and distal thirds of the eontralateral leg. Methods Five patients of soft tissue defects in lower legs associated with injuries to the eontralateral legs were treated with distally based, cross-leg, anterolateral thigh flaps of the contralateral limbs. Results After the pedicle division at 6 weeks postoperatively, the 5 flaps all survived. And the blood supply of flaps remained steady when followed up for 12 to 15 months. The flaps possessed favorable contours, and allowed successful secondary repair of injured bones or tendons. The donor sites healed primarily, and no influence was observed to the donor limbs. Conclusion For the soft tissue defects in middle and distal thirds of leg associated with damage to the surrounding tissues and arterial injury of the contralateral leg, cross-leg transplantation of the contralateral distally based anterolateral thigh flap is a good option of reconstruction.

关 键 词：小腿 股前外侧皮瓣 移植 显微外科 

分 类 号：R658.3[医药卫生—外科学]