血流桥接股前外侧皮瓣在小腿大面积软组织伴血管缺损修复中的应用  

Flow-through anterolateral thigh flap in the repairmen of large area of soft tissue defects with vessels defects on leg

作　　者：黄永军[1] 黄东[1] 江奕恒[1] 牟勇[1] 刘晓春[1] HUANG Yongjun HUANG Dong JIANG Yiheng et al(Department of Trauma and Microsurgery, The Second General Hospital of Guangdong Provincial, Guangzhou, Guangdong, 510317, China)

机构地区：[1]广东省第二人民医院创伤显微外科,广东广州510317

出　　处：《实用手外科杂志》2017年第2期147-149,共3页Journal of Practical Hand Surgery

摘　　要：目的 探讨应用血流桥接股前外侧游离皮瓣Ⅰ期修复小腿大面积软组织伴长段主干血管缺损的疗效.方法 2011年2月-2015年1月,应用血流桥接股前外侧游离皮瓣Ⅰ期修复小腿大面积软组织伴长段主干血管缺损6例,皮瓣切取面积为15 cm×7 cm-33 cm×12 cm,皮瓣携带1-3支穿支血管,重建主干血管长度为6-18 cm.结果 术后6例全部获得随访,随访时间6-24个月,平均（16＆#177;2.8）个月.6例皮瓣均成活,末次随访时皮瓣血运良好,质地柔软,弹性好,所有病例均未发生感染、血肿及供区并发症.1例皮瓣边缘出现少许坏死,经换药后愈合.结论 血流桥接股前外侧皮瓣在修复小腿大面积软组织缺损的同时能有效重建肢体血运,且不牺牲主干血管,是修复小腿大面积软组织缺损伴血管损伤的理想方法.Objective To investigate the effect of flow-through anterolateral thigh flap in the one-stage repairmen of large area of soft tissue defects with vessels defects on leg. Methods From February 2011 to January 2015, to treat 6 cases of large area of soft tissue defects with vessels defects on leg with flow-through anterolateral thigh flap, flap area was 15 cm＆#215;7 cm^33 cm＆#215;12 cm, 1~3 perforating branch flap was included, reconstruction vessel length was 6~18 cm. Results All cases were followed up for 6~24 months, with an average of （16 ＆#177;2.8） months. All the flaps survived, and the flaps at the last follow-up showed good blood circulation, soft texture and good elasticity. No infection, hematoma or donor site complications occurred in the all 6 cases. 1 case showed slight necrosis on the edge of flap, and healed after dressing change. Conclusion To treat large area of soft tissue defects with vessels defects on leg with flow-through anterolateral thigh flap can effectively reconstruct blood circulation, and without sacrifice of major arteries. It is an ideal method for repairing large area of soft tissue defects with vessels defects on leg.

关 键 词：血流桥接 股前外侧皮瓣 血管缺损 

分 类 号：R685[医药卫生—骨科学]