实用手外科杂志2024，Vol.38Issue(2) ：147-149,160.DOI:10.3969/j.issn.1671-2722.2024.02.003

股前外侧Flow-through皮瓣修复下肢大面积缺损合并主干动脉缺损

Repair of large defects of lower limb and main artery defects with anterolateral thigh flow-through flap

周兴 朱自强 谢久虎 郝宝辉 黄立
实用手外科杂志2024，Vol.38Issue(2) ：147-149,160.DOI:10.3969/j.issn.1671-2722.2024.02.003
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股前外侧Flow-through皮瓣修复下肢大面积缺损合并主干动脉缺损

Repair of large defects of lower limb and main artery defects with anterolateral thigh flow-through flap

周兴 1朱自强 1谢久虎 1郝宝辉 1黄立1
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作者信息

  • 1. 徐州医科大学第二附属医院手外科,江苏徐州 221000
  • 折叠

摘要

目的 探讨应用股前外侧Flow-through皮瓣修复下肢大面积缺损合并主干动脉缺损的临床疗效.方法 2017年9月-2022年3月,应用股前外侧Flow-through皮瓣修复下肢大面积缺损并主干动脉缺损10例,其中合并胫后动脉缺损7例,胫前动脉缺损3例.一期行骨折外固定,VSD覆盖创面,二期行股前外侧Flow-through皮瓣修复术.结果 10例皮瓣均成活,1例皮瓣远端少许坏死,经换药后伤口愈合,2例术后出现静脉危象,探查后皮瓣成活.随访8～24个月,平均15个月,皮瓣外观质地良好,5例因皮瓣臃肿行皮瓣修整.供区除伤口瘢痕及色素沉着外,未出现功能影响等并发症.结论 股前外侧Flow-through皮瓣穿支可靠,血管蒂长,轴心血管管径粗,可重建主干血管,是修复下肢大面积缺损合并主干动脉缺损的较好选择.

Abstract

Objective To investigate the clinical effect of anterolateral thigh flow-through flap for repairing large defects of lower limb with main artery defect.Methods From September 2017 to March 2022,10 patients with the large defect of lower limb and main artery defect were treated with anterolateral thigh flow-through flap.The combined injures were main defect of posterior tibial artery in 7 patients,and anterior tibial artery in 3 patients.In the first stage,fracture external fixation was performed,VSD covered the wound,and in the second stage,anterolateral femoral flow-through flap repair was performed.Results All 10 cases survived.One flap occured slight necrosis of the distal skin margin,which healed after dressing.Two flaps with venous crisis survived after exploration.The follow-up time was 8-24 months,with an average of 15 months.The flaps showed good appearance and texture.Five patients showed swollen and underwent flap debulking.In addition to wound scar and pigmentation,the donor site had no complications such as functional impact.Conclusion The anterolateral thigh flow-through flap has reliable perforators,long vascular pedicle,thick diameter of axial vessels,and can reconstruct the main vessels.It is a good choice for repairing large area defects of lower limb combined with main artery defect.

关键词

股前外侧Flow-through皮瓣/修复/大面积缺损/主干动脉缺损

Key words

Anterolateral thigh flow-through flap/Repair/Large area defect/Main artery defect

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出版年

2024
实用手外科杂志
沈阳市手外科研究所

实用手外科杂志

影响因子：0.584
ISSN：1671-2722
参考文献量4
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