游离股前外侧穿支皮瓣修复前足软组织缺损的临床疗效  

Clinical Effects of Free Anterolateral Thigh Flap in Repairing Soft Tissue Defects of the Forefoot

作　　者：杨杜明 Yang Duming(Department of Orthopedics,The First People's Hospital of Dali City,Dali,Yunnan 671000,China)

机构地区：[1]大理市第一人民医院骨科,云南大理671000

出　　处：《大理大学学报》2021年第8期74-76,共3页Journal of Dali University

摘　　要：目的:探讨应用游离股前外侧穿支皮瓣修复前足软组织缺损的临床疗效。方法:应用股前外侧穿支皮瓣游离移植修复前足软组织缺损20例,皮瓣切取面积最小4.0 cm×3.0 cm,最大18.0 cm×8.0 cm,皮瓣供区均直接缝合。结果:术后皮瓣全部成活16例,皮瓣完全坏死1例,皮瓣远端部分坏死3例;随访患者18例,随访时间3~12月,皮瓣大部分外观良好,前足受区功能恢复满意。结论:采用游离股前外侧穿支皮瓣修复前足软组织缺损疗效良好。Objective:To explore the clinical effects of free anterolateral thigh flap in repairing soft tissue defects of the forefoot.Methods:Free anterolateral thigh flap was used to repair 20 cases of soft tissue defects in the forefoot.The minimum flap removal area was 4.0 cm×3.0 cm,and the maximum was 18.0 cm×8.0 cm.The flap donor area is sutured directly.Results:All 16 flaps survived completely,1 flap was completely necrotic,and 3 flaps were partially necrotic.Eighteen patients were followed up for 3-12 months.Most of the flaps were good in appearance,and the function of the forefoot receiving area was satisfactory.Conclusion:Free anterolateral thigh flap is effective in repairing soft tissue defects of the forefoot.

关 键 词：穿支皮瓣 前足 软组织缺损 

分 类 号：R681.53[医药卫生—骨科学]