摘要
目的 探讨游离股前外侧皮瓣在头皮缺损修复中的临床疗效.方法 对21例患者行头皮修补术.切取股前外侧皮瓣,将旋股外侧动脉降支主干及其伴行静脉与颞浅动静脉吻合,修复头皮缺损.结果 所有皮瓣均完全成活,1例患者术后出现血管危象,经手术探查重新吻合,解除危象,成功覆盖创面.术后随访1～2年,皮瓣质地、色泽好,患者满意.结论 股前外侧穿支粗大,皮瓣血运可靠,皮瓣可切取的面积可塑性大,且股前外侧动脉及伴行静脉口径和颞浅血管动静脉接近,是修复头皮缺损的可供选择皮瓣之一.
Objective To discuss clinical effect of free anterolateral femoral perforator flap on repairing scalp defect. Methods 21 patients were performed the scalp repair. After harvesting the anterolateral femoral perforator flap, the trunk of quadriceps artery of femur and its accompanying vein were performed anastomosis with the superficial temporal artery and veins to repairing the scalp defect. Results All flaps survived com- pletely. All wounds were recovered successfully except for one patient with vascular crisis which was relieved by explore and re-anastomosis. After 1 to 2 years postoperative follow-up, all were satisfied with the good texture and color of flap. Conclusion The femoral anterolateral perforators was bulky with stable blood supply, and the harvest of large flap was available. The diameter of the descending trunk of the femoral anterolateral artery was closed to superficial temporal artery and veins, which made this free perforator flap as a good choice for re- pair scalp defect.
出处
《中国美容整形外科杂志》
CAS
2014年第3期142-144,共3页
Chinese Journal of Aesthetic and Plastic Surgery
基金
广东省科学技术基金资助项目
关键词
头皮缺损
股前外侧穿支皮瓣
修补术
Scalp defect
Anterolateral femoral perforator flap
Repair surgery
