摘要
目的探讨应用分叶穿支皮瓣修复下肢软组织缺损的方法。方法2009至2011年，按照组织缺损的形态，利用旋股外侧动脉多个穿支设计分叶穿支皮瓣，同时结合flow-through及超薄皮瓣技术，游离移植修复下肢软组织创伤后组织缺损，供区一期缝合。结果临床应用共21例，其中2例发生皮瓣远端缺血、坏死，经移植皮片修复后痊愈，余19例均完全成活，外形和功能较满意。结论股前外侧分叶穿支皮瓣可以合理利用供区组织，并较理想修复复杂组织缺损。
Objective Application of anterior lateral thight flap （ALT） polyfoliate perforator flap for lower extremity soft tissue defect. Methods From 2009 to 2011, anteral thigh perforator flap free transplantation were applied for traumatic soft tissue deformity of body surface. Results There were 21 cases in this clinical application and the necrosis in distal part of two flaps were treated by free grafting. The other 19 flaps survived completely and the contour and function were satisfied. Conclusion ALT polyfoliate perforator flap could repair the complicated body surface soft tissue defect economically.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2012年第5期340-343,共4页
Chinese Journal of Plastic Surgery
关键词
股前外侧皮瓣
分叶穿支皮瓣
创面修复
Anterior lateral thight flap
Polyfoliate perforator flap
Wound repair
