摘要
目的探讨游离单一穿支营养的股前外侧双叶皮瓣修复手部大面积皮肤软组织缺损的临床效果。方法将2014年3月至2017年3月治疗的21例手部大面积皮肤软组织缺损患者作为研究对象,对所选患者采用单一穿支营养的股前外侧双叶皮瓣Kiss组合后移植修复,并运用完全主动活动(TAM)对治疗效果进行评价。结果 21例患者TAM恢复优14例,良6例,可0例,差1例,优良率为95.23%;21例患者术后对皮瓣外观、质地、感觉功能等比较满意12例,满意6例,基本满意0例,不满意3例,满意率85.71%;本组患者术后皮瓣成活率100%,供、受区伤口均一期愈合,无血管危象发生。所有皮瓣色泽好,质地柔软,弹性较好。结论手部大面积皮肤软组织缺损患者采用游离单一穿支营养的股前外侧双叶皮瓣进行修复,手术操作简单,恢复效果显著。
Objective To explore the clinical effect of repairing large area of skin and soft tissue defect of hand with free anterolateral thigh bilobed flaps with a single-perforator nutrition.Methods Twenty-one patients with large-area skin and soft tissue defects of the hand treated from March 2014 to March 2017 were selected as the research objects.The combined bilobate flap(Kiss) with single perforator-based anterolateral thigh flap were transplanted for repairing skin and soft tissue defect of hand,and the therapeutic effect was evaluated by Total Active Motion(TAM) score.Results TAM score demonstrated that the recovery was excellent in 14 cases,good in 6 cases,fair in 0 case and poor in 1 case with an excellent and good rate of 95.23%.For the satisfaction with skin flap appearance,texture and sensory function,12 cases were satisfied,6 cases were very satisfied,0 case was basically satisfied and 3 cases were dissatisfied with satisfaction rate 85.71%.The survival rate of skin flaps was 100% with good color,soft texture and good elasticity.The wounds in the donor and recipient areas healed in one stage,and no vascular crisis occurred.Conclusion The free anterolateral thigh bilobed skin flap with single perforator nutrition has a remarkable effect in repairing large area skin and soft tissue defect of hand,with simple operation and significant recovery.
作者
黄大波
韦礼永
韦仁杰
HUANG Da-bo;WEI Li-yong;WEI Ren-jie(Department of Trauma Hand and Foot Surgery,Hechi People's Hospital,Hechi,Guangxi 547000,China)
出处
《中国临床研究》
CAS
2020年第3期377-379,383,共4页
Chinese Journal of Clinical Research
基金
河池市科学研究与技术开发计划项目(河科推1623-4)。
关键词
股前外侧双叶皮瓣
单一穿支
修复
皮肤软组织缺损
手部
皮瓣移植
Anterolateral thigh bilobed flaps
Single perforator
Repair
Skin and soft tissue defects
Hand
Skin flap transplantation
