摘要
【摘要】目的探讨应用膝上外侧穿支为蒂的V．Y皮瓣修复股前外侧皮瓣供区的疗效及适应证。方法2011年6月至2012年6月，对9例患者应用股前外侧皮瓣修复手、足创面的同时，采用以膝上外侧穿支为蒂的V—Y皮瓣修复股前外侧皮瓣供区，皮瓣与股前外侧皮瓣遗留创面等宽，而V—Y皮瓣供区直接拉拢缝合。结果术后9例股前外侧皮瓣全部成活，5例于术后6—8个月行皮瓣削薄术。术后随访5～18个月，平均8个月，皮瓣外观、质地、色泽及弹性良好。膝上外侧穿支皮瓣8例完全成活，1例皮瓣近端尖角发生部分坏死，经换药后愈合，伤口愈合时间平均为17d。大腿伤口愈合较平整，无明显凹陷，大腿股四头肌肌力正常，膝关节活动正常。结论该术式操作简单，术后疗效满意，是对传统股前外侧皮瓣供区修复方法的改进。
Objective To investigate the clinical application of V-Y flap pedicled with the lateral superior genicular perforator for donor site defect after harvesting anterolateral thigh flap. Methods From June 2011 to June 2012, 9 cases with defects at hands and feet were treated with anterolateral thigh flaps. The defects left at the donor sites were consequently reconstructed with V-Y flap pedicled with the lateral superior genicular perforator. The defects left by V-Y flap were closed directly. Results All the 9 anterolateral thigh flap survived completely. 5 flaps underwent thinning surgery 6-8 months after operation. The flaps had a good appearance, texture, color and elasticity. The 8 perforator flaps survived completely with partial necrosis in 1 flap at the proximal end. The average healing time was 17 days. There was no obvious depression at donor sites with normal function. Conclusions The method is easily performed with optional therapeutic effect. It is a modified improvement for the anterolateral thigh flap.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2014年第1期26-29,共4页
Chinese Journal of Plastic Surgery
