游离股外侧肌瓣修复足部软组织缺损25例观察  

Clinical Effection of Using Free Lateral Thigh Muscle Flaps in Repairing Soft Tissue Defects of Foot

作　　者：张定伟[1] 王军[1] 唐诗添[1] 王陶[1] 石波[1] 康斌[1] 

机构地区：[1]绵阳市中心医院,四川绵阳621000

出　　处：《现代临床医学》2012年第4期282-283,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨游离股外侧肌瓣修复足部软组织缺损的效果。方法:对25例伴有骨外露足背皮肤软组织缺损患者进行游离肌瓣移植。术前、术中彻底清创受区,切取股外侧肌瓣修复创面,处理血管危象,二期植皮。结果:术后发生血管危象3例,经探查及对症处理后3例均存活;肌瓣坏死1例,坏死原因考虑系打包植皮时加压过紧导致肌肉坏死。成功23例,成功率为92.00%。23例患者均获6～12个月随访,供区伤口均愈合良好,受区肌瓣、皮片成活良好,足部外观满意。结论:股外侧肌瓣简便实用,供区隐蔽,可用于足部软组织缺损的修复。Objective： To discuss the clinical effection of using free lateral thigh muscle flaps in repairing soft tissue defects of foot. Methads：25 cases of feet with soft tissue defects were treated. After careful debridement, free lateral thigh muscle flaps were transferred to cover the defects. The vascular crisis of the muscle flaps were treated after transplanation, and grafted skin. Results： All cases were followed up for 6 - 12 month. Three muscle flaps restored blood circulation after vascular crise; one muscle flap was necrosis. 92.00% muscle flaps were survived. Condusions：The free lateral thigh muscle flap is simple and practical. The donor is hidden. It is suitable for coverage of skin and soft tissue defects of feet.

关 键 词：股外侧肌瓣 足部软组织缺损 显微外科 

分 类 号：R622.1[医药卫生—整形外科]