临床小儿外科杂志2024，Vol.23Issue(3)：273-278,6.DOI:10.3760/cma.j.cn101785-202301011-014
带蒂股前外侧穿支皮瓣移植术修复儿童臀部硬纤维瘤切除后皮肤软组织缺损1例并文献分析
Transplanting of pedicled anterolateral perforator flap of thigh for repairing hip skin and soft tissue de-fect after a resection of dermal fibroma in children:one case report with a literature analysis
摘要
Abstract
Objective To explore the outcomes of transplanting pedicled anterolateral femoral perforator flap for repairing skin and soft tissue defect after an excision of hip dermal fibroma.Methods The relevant clinical data were retrospectively reviewed for a child hospitalized with dermol fibroma of hip in November 2020.Mass status,size of skin and soft tissue defect after mass resection,survival status of pedicled anterolateral femoral perforator flap and hip joint function were recorded."Pedicled anterolateral perforator thigh flap"and"soft tissue defect of hip"were employed as keywords for searching the relevant literatures in the databases of PubMed,China National Knowledge Infrastructure(CNKI)and WanFang from January 1970 to December 2022.Reviews,letters,conference abstracts or literatures from the same data source were excluded.Results Hip dermal fibroma was resected with a mass size of 15 cm × 8 cm × 6 cm,a defect size of hip skin soft tissue 15 cm x6.5 cm and a size of pedicled anterolateral perforator thigh flap 15 cm x6.5 cm.Donor area was sutured directly while recipient area required no skin grafting.No postoperative vascular crisis occurred in flap.All flaps survived during a follow-up period of 24 months.Healing of donor area was excellent with decent col-or/texture of recipient area flap.There was no recurrence of desmofibroma,muscular hernia or restricted hip/knee movement of affected limb.Two case reports fulfilling the inclusion criteria were retrieved.Two male cases of pedicled anterolateral femoral perforator flap were transplanted for repairing soft tissue defects involving but-tock.One child was transplanted with bilateral pedicled anterolateral femoral perforator flap with sizes of 35 cm x 8 cm and 22 cm x 7 cm respectively.In another chid,a size of 29 cm x 20 cm was sliced and recipient area was partially grafted.All flaps survived during postoperative follow-ups with decent texture and no restricted movement of hip joint.Conclusions Transplanting of pedicled anterolateral perforator flap of thigh is both fea-sible and efficacious for repairing the defect of hip skin and soft tissue in children.关键词
硬纤维瘤/带蒂股前外侧皮瓣/皮瓣转位/外科手术/儿童Key words
Desmoid Tumors/Pedicled Anterolateral Thigh Flap/Transposition Flap/Surgical Proce-dures,Operative/Child引用本文复制引用
王军,曾凌嵘,伍江雁,谭晓谦,梅海波..带蒂股前外侧穿支皮瓣移植术修复儿童臀部硬纤维瘤切除后皮肤软组织缺损1例并文献分析[J].临床小儿外科杂志,2024,23(3):273-278,6.基金项目
儿童骨科学湖南省重点实验室开放课题(2023TP1019) （2023TP1019）
芙蓉实验室科技项目(2023SK2111) （2023SK2111）
湖南省儿童肢体畸形临床医学研究中心(2019SK4006) Opening fundings of Hunan Provincial Key Laboratory of Pediatric Orthopedics(2023TP1019),Science and Technology Project of Furong Laboratory(2023SK2111),Hunan Provincial Clini-cal Medical Research Center for pediatric Limb Deformities （2019SK4006）
