引用本文:王久清,张 显,郭庆功,黄昌林.旋股外侧动脉降支嵌合穿支皮瓣的临床应用效果探讨[J].中国临床新医学,2019,12(4):422-425.
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旋股外侧动脉降支嵌合穿支皮瓣的临床应用效果探讨
王久清,张 显,郭庆功,黄昌林
475000 开封,河南大学第一附属医院骨科一病区
摘要:
[摘要] 目的 探讨旋股外侧动脉降支嵌合穿支皮瓣的临床应用效果。方法 选取该院住院的21例皮肤软组织缺损患者,其中小腿软组织缺损12例,胫骨或跟骨骨髓炎9例,软组织缺损面积4 cm×4 cm~6 cm×8 cm,均采用旋股外侧动脉降支嵌合穿支皮瓣游离移植修复。结果 21例皮瓣均成活。随访8~26个月,皮瓣色泽、质地好,骨髓炎无复发,无应力骨折发生,皮瓣供区仅遗留线性瘢痕。末次随访时,患肢美国矫形外科足踝协会(AOFAS)评分量表评分82~92(87.3±1.9)分。结论 旋股外侧动脉降支嵌合穿支皮瓣可实现创面立体修复,是治疗下肢软组织缺损的有效方法。
关键词:  旋股外侧动脉降支  穿支皮瓣  嵌合皮瓣  软组织缺损  下肢
DOI:10.3969/j.issn.1674-3806.2019.04.17
分类号:R 622.1
基金项目:
Clinical application effect of chimeric perforator flap based on descending branch of lateral circumflex femoral artery
WANG Jiu-qing, ZHANG Xian, GUO Qing-gong, et al.
The First Department of Orthopedics, the First Affiliated Hospital of Henan University, Kaifeng 475000, China
Abstract:
[Abstract] Objective To investigate the clinical application effect of chimeric perforator flap based on descending branch of lateral circumflex femoral artery. Methods Twenty-one cases of soft tissue defects including 12 cases of calf soft tissue defects and 9 cases of tibial or calcaneal osteomyelitis were selected, whose area of soft tissue defects were 4 cm×4 cm~6 cm×8 cm. All the patients were repaired by free transplantation of chimeric perforator flap based on descending branch of lateral circumflex femoral artery. Results All the flaps of the 21 patients survived after follow-up of 8 to 26 months, with satisfactory color and texture of the flaps, no recurrence of osteomyelitis and non-stress fracture, and linear scars left in the donor site of the flaps. The AOFAS scores of the affected limbs were 82 to 92 points, with an average of (87.3±1.9) points at the last follow-up. Conclusion Chimeric perforator flap based on descending branch of lateral circumflex femoral artery is an effective method for the treatment of soft tissue defects of legs.
Key words:  Descending branch of lateral circumflex femoral artery  Perforator flap  Chimeric flap  Soft tissue defect  Legs