急诊一期股前外侧Flow-through嵌合穿支组织瓣修复儿童腕部GustiloⅢC损伤一例  

Emergency one-stage transfer of Flow-through chimeric anterolateral thigh perforator tissue flap in repair of Gustilo III C wrist injury of a child:A case report

作　　者：刘帅 郑晓菊 李海军 王新宏 王辉 LIU Shuai;ZHENG Xiaoju;LI Haijun;WANG Xinhong;WANG Hui(Department of Hand and Foot Microsurgery,Xi'an Fengcheng Hospital,Xi'an 710000,China)

机构地区：[1]西安凤城医院手足显微外科,西安710000

出　　处：《中华显微外科杂志》2022年第6期694-696,共3页Chinese Journal of Microsurgery

摘　　要：2020年9月,西安凤城医院手足显微外科收治1例腕部开放骨折伴软组织严重损伤的患儿,急诊一期行骨折内固定,修复血管、神经、肌腱,并应用股前外侧游离Flow-through嵌合穿支组织瓣覆盖创面,嵌合组织及肢体一期成活,创面一期愈合。术后1年随访,组织瓣外观不臃肿,并恢复保护性感觉;左腕关节屈伸、旋转功能,以及左手抓捏、各指屈伸功能恢复良好。In September 2020,a child with open wrist fracture and severe soft tissue injury was admitted in the Department of Hand and Foot Microsurgery,Xi'an Fengcheng Hospital.In the emergency surgery,the fracture was fixed,the vascular,nerve and tendon were repaired,and Flow-through chimeric anterolateral thigh perforator tissue flap was used to cover the wound.The chimeric tissue flap and the wrist survived in first stage as well as the wound healing.At 1 year of follow-up,the flap was not bloated and the protective sensation was restored.The flexion and extension and the rotation of left wrist were good.The pinch,flexion and extension of all digits of the left hand recovered well.

关 键 词：Flow-through嵌合穿支组织瓣 旋股外侧动脉降支 嵌合移植 前臂 儿童 显微外科技术 

分 类 号：R726.5[医药卫生—儿科]