高位直接皮支型股前外侧皮瓣的应用  

STUDY ON TRANSPLANTATION OF ANTEROLATERAL FEMORAL SKIN FLAP WITH HIGH SITE DIRECT CUTANEOUS ARTERY

作　　者：罗力生[1] 张立宪[1] 胡志奇[1] 

机构地区：[1]第一军医大学南方医院整形外科,广州510515

出　　处：《中国修复重建外科杂志》2001年第4期206-207,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　探讨股前外侧皮瓣缺乏第 1肌皮动脉穿支时皮瓣移植的可能性。方法　总结 15年来股前外侧皮瓣移植 16 0例的经验 ,及其临床所见的血管走行、分布、起始部位及血管外径等解剖特点与移植成活的关系。其中有 10例以高位直接皮支为蒂的皮瓣移植术 ,占本组的 6 .3%。切取皮瓣的范围 10 cm× 14cm～ 12 cm×18cm ,修复体表皮肤软组织缺损。结果　术后 10例高位直接皮支皮瓣游离移植 ,均获得完全成活。结论　高位直接皮支型股前外侧皮瓣是一种血供良好 ,切取范围较大、简便的皮瓣 ,当股前外侧皮瓣降支的第 1穿支缺乏时 ,是一种最理想的选择。Objective To study the availability of transplantation of anterolateral femoral skin flap with absence of the first branch of musculocutaneous artery. Methods One hundred and sixty cases of anterolateral femoral skin flap transplantation in the past 15 years were reviewed, to investigate the relationship between the outcome of the transplantation and the types, distribution, original point, diameter of blood vessels. Among the 160 cases, there were 10 cases, 6.3% in total, of skin flap transplantation with the pedicle of high site direct cutaneous femoral artery, ranging from 10 cm×14cm to 12 cm×18 cm in size, applied to repair soft tissue defect. Results There were 149 cases, among the 160 cases, survived and all the 10 cases of femoral skin flap transplantation with high site anterolateral cutaneous artery survived. Conclusion The femoral skin flap with high site anterolateral cutaneous artery has good blood supply, larger size available, and easier operation. When the first branch of descending anterolateral femoral artery is absent, the femoral skin flap with high site anterolateral cutaneous artery is an optimal alternative.

关 键 词：股前外侧皮瓣 直接皮穿支血管 游离移植 临床应用 

分 类 号：R622.1[医药卫生—整形外科]