修薄股前外侧穿支皮瓣修复四肢皮肤软组织缺损25例
Repair of skin and soft tissue defects in extremities with thin anterolateral thigh perforator flap 25 cases
刘素娜 1彭晓旭 1陈海浦1
作者信息
- 1. 平顶山市新华区人民医院骨外科,河南平顶山 467000
- 折叠
摘要
目的 探讨修薄的股前外侧穿支皮瓣修复四肢皮肤软组织缺损的临床疗效.方法 选取2020年1月-2021年12月收治的四肢皮肤软组织缺损患者25例,所有患者均接受修薄的股前外侧穿支皮瓣修复,分析整体预后情况.结果 术后25例皮瓣均成活,其中4例皮瓣远端伴有小面积表皮坏死,经换药等对症干预后,愈合良好.术后随访3～18个月,所有患者局部移植皮瓣外形可,无臃肿,质地柔软,有弹性,肘、腕以及踝关节屈、伸功能不受限.供区愈合情况良好,无明显瘢痕增生.结论 四肢皮肤软组织缺损予以修薄的股前外侧穿支皮瓣修复,能有效促进移植部位缺损组织恢复,且成活率高.
Abstract
Objective To explore the effect of repairing skin and soft tissue defects of extremities with thin anterolateral thigh perforator flap in 25 cases.Methods Twenty five patients with skin and soft tissue defects of extremities from January 2020 to December 2021 were selected.All patients received thin anterolateral thigh perforator flap repair,and the overall prognosis was analyzed.Results After operation,25 cases of skin flaps survived,4 of which were accompanied by small area of epidermal necrosis at the distal end of the skin flaps.After symptomatic intervention such as dressing change,the skin flaps healed well.Follow up for 3 to 18 months showed that all patients had good appearance,soft texture,elasticity,and no limitation of elbow,wrist and ankle joint flexion and extension.The donor site healed well without obvious scar hyperplasia.Conclusion The thin anterolateral thigh perforator flap for skin and soft tissue defects of extremities can effectively promote the repair of the defect tissue at the transplant site,and has a high survival rate,which is worthy of application.
关键词
股前外侧/穿支皮瓣修复/四肢/软组织缺损Key words
Anterolateral thigh/Perforator flap repair/Limbs/Soft tissue defect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据