游离股前外侧皮瓣修复肢体软组织缺损25例  

Application of free anterolateral thigh flap in soft tissue defect repair

作　　者：朱东起[1] 王欣[1] 高翔[1] 邓英虎[1] 李胜华[1] 

机构地区：[1]安徽省铜陵市人民医院骨科,244000

出　　处：《蚌埠医学院学报》2011年第2期147-149,共3页Journal of Bengbu Medical College

摘　　要：目的:观察游离股前外侧皮瓣修复肢体软组织缺损的临床效果。方法:应用游离股前外侧皮瓣治疗不同部位肢体组织缺损25例,其中单纯应用21例,与游离腓骨移植组合应用1例,与拇再造同时应用3例。25例中14例带股前外侧神经终支与受区神经吻合。结果:25例共25块移植皮瓣中,23例未发生危象,完全成活;2例出现血管危象,皮瓣坏死;1例手掌部及2例足背部皮瓣修复术后外形欠满意做修薄手术。术后经6～24个月随访,14例吻合带神经皮瓣感觉不同程度恢复,S2 5例,S36例,S4 3例。23例功能及外形恢复满意。结论:游离股前外侧皮瓣存活率高,外形美观,特别适合有美容要求的年轻患者,是修复肢体组织缺损的理想皮瓣。Objective：To observe the effect of free anterolateral thigh flap on soft tissue defect repair.Methods：Twenty-five cases with defects in different parts of limb were repaired by anterolateral thigh flap transplantation.In all of these cases,there were 14 cases repaired simply with free anterolateral thigh flap,while 1 case associated with free fibula transplantation and 3 cases associated with thumb reconstruction simultaneously.Anterolateral femoral nerves with end branches were connected with nerves of accepted zone by anastomosis in 14 cases.Results：Twenty-three pieces of skin flap survived completely;vascular crisis and skin necrosis occurred in 2 cases;1 case of palm and 2 cases foot back flap transplantation were treated by additional thinner surgery for their less satisfied shapes.Follow-up by 6 to 24 months,14 cases of flap transplantation with nerve anastomosis acquired different degrees of sensory nerve recovery,as five cases of S2,four cases of S3 and three cases of S4.Twenty-three cases satisfied with the recovery of organ function and the appearance of the surgical sites.Conclusions：The free anterolateral thigh flap has many advantages,such as high survival rate and beautiful shape,so it is ideal for repairing tissue defects of limb flap and especially fit for young patients with cosmetic requirements.

关 键 词：外科皮瓣 皮肤移植 软组织缺损 股前外侧皮瓣 

分 类 号：R622.1[医药卫生—整形外科]