股前外侧穿支皮瓣在四肢不同类型创面中的应用
Application of anterolateral femoral perforator flap for different types of wounds of the extremities
江峰 1华栋 1王凌 1吴苏州 1方小魁 1王靖1
作者信息
- 1. 246003 安徽省,安庆市立医院整形与创面修复外科
- 折叠
摘要
目的 探讨股前外侧穿支皮瓣修复四肢不同类型创面的临床疗效.方法 回顾分析 2019 年11 月至 2022 年 8 月,我科采用股前外侧穿支皮瓣修复四肢各类复杂创面的患者 14 例,男 10 例,女 4 例;年龄 6～77 岁,平均 51 岁.其中前臂软组织缺损合并血管损伤进行 Flow-through 皮瓣桥接 2 例、手足踝关节创面运用不带深筋膜的修薄皮瓣9例、膝关节软组织缺损运用带阔筋膜瓣进行深部组织重建 3 例.其中游离移植13 例,带蒂转移修复 1 例.结果 术后 14 例穿支皮瓣及供区均一期愈合,无血管危象发生,所有患者均获随访,随访时间 6～36 个月,皮瓣外形美观,质地良好,不臃肿,均未进行再次修薄整形,皮瓣感觉恢复 S2 级5 例,S3 级 7 例,S3+级 2 例.结论 个性化设计的股前外侧穿支皮瓣在四肢不同类型创面中具有良好的应用价值.
Abstract
Objective To explore the clinical efficacy of the anterolateral femoral perforator flap in repairing different types of wounds on the limbs.Methods From November,2019 to August,2022,anterolateral femoral perforator flaps were used to repair complex wounds on the limbs of 14 patients,including 10 males and 4 females.The age ranged from 6 to 77 years,with an average of 51 years.Among them,2 cases with forearm soft tissue defect combined with vascular injury underwent Flow-through flap bridging;9 cases with hand,foot or ankle joint wounds were treated with thin skin flaps without deep fascia;and 3 cases with knee joint soft tissue defect were treated with deep tissue reconstruction of fascia lata flap.There were 13 cases of free transplantation and 1 case of pedicle transfer repair.Results Perforator flaps and donor sites healed at the first stage after surgery for 14 cases with no vascular crisis.All cases were followed up for 6 to 36 months.All flaps looked well,and no further thinning or surgery was performed.Sensation recovery:S2 for 5 cases,S3 for 7 cases,and S3+for 2 cases.Conclusions Individualized anterolateral perforator flap has good application value for different types of wounds on the limbs
关键词
外科皮瓣/穿支皮瓣/四肢/修复外科手术Key words
Surgical flaps/Perforator flap/Extremities/Reconstructive surgical procedures引用本文复制引用
出版年
2024
NETL
NSTL
万方数据