游离股前外侧动脉穿支皮瓣在头皮缺损中的应用  

Repair of scalp defect by using free anterolateral femoral arterial perforating branches flap

作　　者：洪小芳[1] 孟宏[1] 黄建华[1] 张干林[1] 刘晓韬[1] 刘伟勇[1] 

机构地区：[1]惠州市中心人民医院整形创伤显微外科,广东惠州516001

出　　处：《岭南现代临床外科》2014年第2期165-167,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨游离股前外侧皮瓣在头皮缺损修复中的临床经验。方法切取股前外侧皮瓣,将旋股外侧动脉降支主干及其伴行静脉与颞浅动静脉吻合,修复头皮缺损。自2010年1月到2013年6月,共21例病例行该手术方法治疗头皮缺损。结果术后随访1年到2年,皮瓣质地色泽好,皮瓣长5 cm^13 cm、宽8 cm^20 cm大小,平均面积大小6.7cm×17cm,所有皮瓣均完全成活,1例术后出现血管危象,经过手术探查,重新吻合,解除危象,成功覆盖创面。结论股前外侧穿支粗大,皮瓣血运可靠,皮瓣可切取的面积可塑性大,且股前外侧动脉及伴行静脉口径和颞浅血管动静脉接近,是可供选择修复头皮缺损的皮瓣之一。ObjectiveTo discuss clinical experience in the repair of defect of scalp using free anterolateral femoral arterial perforating branches flap. MethodFrom Jan 2010 to Jun 2013, complicated scalp defects in 21 patients were repaired with free anterolateral femoral flaps..Cutting off the anterolateral femoral flap,.the lateral femoral circumflex arterial main trumk of descending branches and its accompanied veins were anastomosed to the superficial temporal artery and veins to repair defect of scalp. ResultsThe postoperative follow？鄄up was one to two years and the texture and color of flap were good..The size of flaps were 5cm？鄄13cm×8cm？鄄20cm and the mean was 6.7cm×17cm. Vascular crisis was happened in 1 case and the crisis was removed successfully after surgical exploration and re？鄄anastomosis. ConclusionThe femoral anterolateral perforating branches were gross and its blood supply is reliable. The diameter of the descending branches of the femoral anterolateral artery is closed to superficial temporal artery and veins,which make this free perforating branches flap as a good choice of reconstruction of scalp defect due to trauma or tumor resection.

关 键 词：头皮缺损 股前外侧穿支皮瓣 

分 类 号：R622.1[医药卫生—整形外科]