改良逆行股前外侧皮瓣修复小腿中上段皮肤软组织缺损  

Two sets of blood supply of retrograde femoral anterolateral flap in repairing skin and soft tissue defect in the upper middle section of the leg

作　　者：肖春林[1] 赵敏[1] 史柏娜[1] 周江军[1] 高伟[1] 杨俊[1] 付美清[1] 熊斌[1] 

机构地区：[1]解放军第184医院骨科,江西鹰潭335000

出　　处：《中国临床解剖学杂志》2014年第6期732-734,共3页Chinese Journal of Clinical Anatomy

基　　金：全军十二五计划后勤科研重点项目(BNJ13J003);全军医学科技青年培育项目(13QNP049);南京军区医学科技创新项目(12MA049);江西省科技支撑计划(20132BBG70092)

摘　　要：目的探讨两套血供的改良逆行股前外侧皮瓣修复小腿中上段皮肤软组织缺损的临床疗效。方法 2011年7月-2013年12月,采用改良逆行股前外侧皮瓣修复小腿中上段创面5例。应用高位皮支切取带蒂逆行股前外侧皮瓣,应用＂外增压＂原理,端侧吻合动脉增加皮瓣供血。结果 5例皮瓣全部成活,皮瓣外形满意,质地好,供区无并发症发生。结论两套血供的改良逆行股前外侧皮瓣,血管蒂长,切取面积大,皮瓣血运好,存活率高。是临床修复小腿中上段创面的一个良好选择。Objective To investigate clinical curative effects of two sets of blood supply of the retrograde femoral anterolateral skin flap in repairing skin and soft tissue defect in upper middle section of the leg. Methods From July 2011 to December 2013, Modified retrograde femoral anterolateral skin flaps were adopted to repair 5 cases of wound in the upper middle section of the leg. The retrograde femoral anterolateral skin flap was harvested based on the high cutaneous branches. According to the principle ＂external pressure＂, End-side anastomosis increased blood flow to the flap. Results 5 cases flaps all survived. Flap shape satisfaction, Quality of a material is good , For the area without complications. Conclusion The modified retrograde femoral anterolateral skin flap of with two sets of blood supply has the advantages of being long in vascular pedicle length, large in donor area, profuse in blood supply and high in survival rate It is a good choice for repairing upper leg wound.

关 键 词：改良逆行股前外侧皮瓣 高位皮支 外增压 小腿中上段 软组织缺损 

分 类 号：R658.3[医药卫生—外科学]