游离股前外侧皮瓣修复肢体软组织缺损的体会

发布时间：2018-12-27 15:57

【摘要】：目的探究应用游离股前外侧皮瓣修复肢体软组织缺损,深部组织外露的临床疗效。方法深部组织外露创面10例,软组织缺损部位。结果皮瓣均全部存活,无皮缘坏死,无血管危象发生,术后皮瓣色泽,质地,外形良好。皮瓣供区均植皮修复,伤口均愈合良好,无明显功能障碍。结论股前外侧皮瓣血管蒂长,恒定,切取面积大,皮瓣血运丰富,抗感染能力强,且可携带股外侧肌肉形成肌瓣填塞死腔,手术时可仰卧位下完成手术操作。对皮瓣供区的处理有两种方法,一种为直接拉拢缝合,一种为游离皮片移植并VSD负压吸引,供区均能得到良好修复。股前外侧游离皮瓣血管蒂较恒定,较长,切取成功率高,可切取面积大,如果携带部分肌肉移植可填塞深部空腔,有利于肌肉及骨缺损的修复,是修复肢体软组织缺损的理想皮瓣。
[Abstract]:Objective to explore the clinical effect of free anterolateral femoral flap for repairing limb soft tissue defect and deep tissue exposure. Methods 10 cases of deep tissue exposed wound, soft tissue defect site. Results all the flaps survived without necrosis of the skin margin and no vascular crisis. The color texture and shape of the skin flap were good after operation. All skin grafts were repaired and the wounds healed well without obvious dysfunction. Conclusion the pedicle of anterolateral femoral flap is long, constant, large area, abundant blood flow, strong anti-infection ability, and can carry muscle flap of lateral femoral muscle to fill the dead cavity, and the operation can be completed in supine position during operation. There are two methods to deal with the donor area of the flap, one is direct closure and suture, the other is free skin graft and VSD suction. The donor area can be repaired well. The vascular pedicle of free anterolateral femoral flap is relatively constant, longer, with high success rate and large area. If partial muscle transplantation is carried out, the deep cavity can be filled, which is beneficial to the repair of muscle and bone defect. It is an ideal flap for repairing soft tissue defect of limbs.
【作者单位】：江西省东乡县人民医院骨科;
【分类号】：R622

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