应用股前外侧穿支皮瓣修复手足软组织缺损  

Anterolateral thigh perforator flap in treating soft tissue defect of hand and foot

作　　者：扈克治[1] 甘干达[1] 韩健[1] 

机构地区：[1]中国人民解放军第181医院创伤骨科,广西桂林541002

出　　处：《实用手外科杂志》2012年第3期235-236,240,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨应用吻合血管的股前外侧穿支皮瓣修复手足软组织缺损的临床疗效。方法2007年3月-2011年11月，采用股前外侧穿支皮瓣修复手、足部各类软组织缺损34例。结果34例患者创面均一期愈合，未出现皮瓣坏死、感染等并发症，随访1年疗效满意。结论股前外侧穿支皮瓣带有股前外侧皮神经，用来修复手足皮肤软组织缺损可获得较高的皮瓣成活率和良好的手术效果，值得临床应用和推广。Objective To investigate clinical therapeutic effect of vascularized anterolateral thigh perforator flap in treating soft tissue defects of hand and foot. Methods From 2007 to 2011, 34 cases of hand and foot soft tissue defects were treated by vascularized anterolateral thigh perforator flap. Results The different damaged surfaces in 34 patients all reached primary healing, and did not have postoperative complications （such as flap necrosis, infection and so on）. The therapeutic result was satisfactory in 1 year follow-up. Conclusion With anterolateral thigh cutaneous nerve, the anterolateral thigh perforator flap is worthy of application and spread, which had higher survival rate and operational effective in treating soft tissue defects of hand and foot.

关 键 词：股前外侧皮瓣 穿支皮瓣 软组织损伤 组织修复 

分 类 号：R685[医药卫生—骨科学]