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。
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.
作者
江峰
华栋
王凌
吴苏州
方小魁
王靖
JIANG Feng;HUA Dong;WANG Ling;WU Su-zhou;FANG Xiao-kui;WANG Jing(Department of Plastic&Wound Repair Surgery,Anqing Municipal Hospital,Anqing,Anhui,246003,China)
出处
《中国骨与关节杂志》
CAS
2024年第6期413-418,共6页
Chinese Journal of Bone and Joint
关键词
外科皮瓣
穿支皮瓣
四肢
修复外科手术
Surgical flaps
Perforator flap
Extremities
Reconstructive surgical procedures
