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游离股前外侧穿支皮瓣修复四肢创伤性软组织缺损

唐文 高辉 张飞 杨亚东 魏晓军 刘氜 赖光松

赣南医学院学报Issue(6):851-854,4.
赣南医学院学报Issue(6):851-854,4.

游离股前外侧穿支皮瓣修复四肢创伤性软组织缺损

Anterolateral Thigh perforator Free Flaps for Reconstruction of Four Limb Traumatic Soft Tissue Defects

唐文 1高辉 1张飞 1杨亚东 1魏晓军 1刘氜 1赖光松1

作者信息

  • 1. 赣南医学院第一附属医院骨科,江西 赣州 341000
  • 折叠

摘要

Abstract

Objective:To explore the therapeutic effect of anterolateral thigh perforator free flaps for reconstruction of four limb soft tissue defects. Methods:Among 19 patients were treated with anteriolateral thigh perforator free flap for traumat-ic soft tissue defects from June 2010 to December 2013,15 cases were male,female 4 cases;the age of the 19 patients was ranging from 13 to 55 years old,and the average age was 33. The time between the injury and the operation was 1 h~55 d. The damaged part:9 cases in leg,5 cases in foot,2cases in forearm and 3 cases in hand. The sizes of those soft tissue defects were from 3 cm × 8 cm to 13 cm × 35 cm. Operation time,blood loss,blood transfusion,postoperative complications,flap stabilization time,second plastic surgery rates and patient satisfaction were recorded. All the patient were followed up for 6 to 24 months. Results:All flaps survived completely,the mean operation time were( 239 ± 35 ) mins,the mean blood loss were(236 ± 45)mL,the mean blood transfusion were(0. 74 ± 0. 3)U,the postoperative complication rate was 9%,the mean time for flap stabilization were(6. 4 ± 1. 2)d,the satisfaction rate of patients was 95%,reoperation rate was 5. 1%. Conclusion:The anteriolateral thigh perforator free flaps is an ideal method for repai-ring the soft tissue defects in extremities.

关键词

穿支皮瓣/移植/修复/显微外科/股前外侧穿支皮瓣

Key words

perforator flap/transplantation/repair/microsurgery/anteriolateral thigh perforator flap

分类

医药卫生

引用本文复制引用

唐文,高辉,张飞,杨亚东,魏晓军,刘氜,赖光松..游离股前外侧穿支皮瓣修复四肢创伤性软组织缺损[J].赣南医学院学报,2014,(6):851-854,4.

基金项目

江西省卫生厅科技计划资助项目 ()

赣南医学院学报

1001-5779

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