股前外侧螺旋桨皮瓣修复腹股沟皮肤软组织缺损  

The application of pedicled anterolateral thigh propeller flaps in reconstruction of inguinal skin and soft tis- sue defects

作　　者：高顺红[1] 符健松 张净宇[1] 胡宏宇[1] 于志亮[1] 于俊[1] 周彤[1] 倪玉龙[1] 

机构地区：[1]华北理工大学附属骨科医院(唐山市第二医院)手二科,河北省唐山市063000

出　　处：《中华显微外科杂志》2017年第2期123-125,共3页Chinese Journal of Microsurgery

基　　金：唐山市科学技术研究与发展计划项目（15130209c）

摘　　要：目的探讨以股前外侧螺旋桨皮瓣修复腹股沟皮肤软组织缺损的临床疗效。方法2009年6月至2014年10月，我科采用以旋股外侧动脉降支穿支为血管蒂的股前外侧螺旋桨皮瓣修复腹股沟皮肤软组织缺损12例，男8例，女4例，年龄22-51岁，其中左侧3例，右侧9例。致伤原因：5例为车祸伤，7例为重物砸伤，其中单纯皮肤软组织缺损2例，合并骨折、神经、血管、肌肉损伤10例。创面面积9.0 cm×5.0 cm-22.0 cm×9.0 cm，术中切取大小为11.0 cm×7.0 cm-24.0 cm×11.0 cm、以旋股外侧动脉降支穿支为血管蒂的股前外侧螺旋桨皮瓣修复创面。结果术后皮瓣及供区植皮均一期愈合，患者均获随访，随访时间8-24个月。质地柔软，外形满意，皮瓣色泽与周围正常皮肤相似。术后8个月根据1954年英国医学研究会的评价标准，感觉恢复至S2- S3＋，供区无瘢痕挛缩及色素沉着。结论以旋股外侧动脉降支穿支为蒂的股前外侧螺旋桨皮瓣是修复腹股沟区皮肤软组织缺损较为理想的方法。ObjectiveTo discuss the effectiveness of anterolateral thigh propeller flaps for treatment of inguinal skin and soft tissue defects.MethodsFrom June, 2009 to October, 2014, 12 patients with inguinal skin and soft tissue defects were treated with anterolateral thigh propeller flaps pedicled with perforator of descending branch of lateral circumflex femoral artery. Of them there were 8 males and 4 females, aged from 22 to 51 years. The left side was involved in 3 cases and right side 9 cases. Defects were caused by traffic accident injury in 5 cases, crash injury of heavy object in 7 cases. There were mere skin and soft tissue in 2 cases, combined with bone fractures, nerves, vessels and muscles injury in 10 cases. The area of defects ranged from 9.0 cm×5.0 cm to 22.0 cm×9.0 cm. During operation, anterolateral thigh propeller flaps ranging from 11.0 cm×7.0 cm to 24.0 cm×11.0 cm were used to repair the wounds.ResultsAll flaps and skingrafts survived after operation and the wounds obtained primary healing. After 8-24 months follow-up, all flaps were characterized by soft texture, good color, and satisfactory appearance. According to the Britain’s Medical Research Council at 8 months after operation, the sensation of the flaps were recovered to S2~ S3＋, No obvious scar contracture and chromatosis were observed at donor site.ConclusionAnterolateral thigh propeller flaps pedicled with artery descending branch of lateral circumflex femoral perforator is an ideal choice for the reconstruction for inguinal skin and soft tissue defects.

关 键 词：股前外侧皮瓣 螺旋桨 穿支皮瓣 旋股外侧动脉降支 腹股沟 修复 

分 类 号：R622[医药卫生—整形外科]