带血管蒂组织瓣移植在治疗四肢软组织肉瘤中的应用  

Application of vascularized pedicle flap graft on the treatment of extremities soft tissue sarcoma

作　　者：何祖胜[1] 锡林宝勒日 白靖平[1] 江仁兵[1] 周洋[1] 艾则孜.买买提艾力 

机构地区：[1]新疆医科大学附属肿瘤医院骨与软组织肿瘤科,新疆乌鲁木齐830011

出　　处：《中国实用外科杂志》2011年第4期311-312,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨带血管蒂组织瓣移植术在四肢软组织肉瘤中的应用与体会。方法回顾性分析2005年7月至2009年7月新疆医科大学附属肿瘤医院行带血管蒂组织瓣移植治疗16例四肢软组织肉瘤的临床资料。结果 1例足底内侧动脉皮瓣部分坏死,经二次游离皮片植皮后愈合。1例腓肠肌内侧头肌瓣结合游离植皮术后,边缘出现坏死,经换药后痂下愈合。其余14例病人组织瓣均全部存活,16例病人在生存期内同部位未见肿瘤复发。结论四肢软组织肉瘤能够通过局部扩大切除术及带血管蒂的皮瓣移植术达到局部的控制,避免生存期内接受截肢术。Objective To study the application of vascularized pedicle flap on the treatment of extremities soft tissue sarcoma. Methods The clinical data of 16 cases of extremities soft tissue sarcoma performed vascularized pedicle flap graft from July 2005 to July 2009 in Affiliated Tumor Hospital of Xinjiang Medical University were analyze（t retrospectively. Results One case of medial plantar artery skin flap necrosis healed after second time free skin graft dermatoplasty. One ease of muscle flap margin necrosis healed after change of dressing. The other fourteen eases healed well. All the sixteen eases had no recurrence in their life span. Conclusion Extremities soft tissue sarcoma can be healed with a margin large excision and vascularized pedicle flap dermatoplasty.

关 键 词：四肢 软组织肉瘤 带血管蒂组织瓣 

分 类 号：R6[医药卫生—外科学]