股前外侧穿支皮瓣修复手、足软组织缺损的临床应用

Clinical Applicatian of Free Anterolateral Thigh Perforator Flap in Repairing Soft Tissue Defect of Hand and Foot

目的探讨应用游离股前外侧穿支皮瓣修复手、足软组织缺损的临床疗效。方法选取白2007年7月～2012年11月应用股前外侧穿支皮瓣修复手、足软组织缺损患者16例，皮瓣切取面积最小4cm×2cm，最大22em×12cm，皮瓣供区宽度在7cm以内直接减张缝合，超过7cm则取中厚皮片植皮。结果术后移植皮瓣15例完全成活，创面I期愈合；1例皮瓣边缘坏死，经换药后愈合。患者均获随访（3～24个月），皮瓣外形较平整，厚度适中，手、足受区功能恢复良好。结论游离股前外侧穿支皮瓣修复手、足部软组织缺损可取得较好疗效。

Objective To explore the clinical therapeutic effect of free anterolateral thigh perforator flap in treating soft tissue defects of the hand and foot. Methods Sixteen eases of soft tissue defects of hand and foot were treated by free anterolateral thigh perforator flapsfrom July, 2007 to November, 2012. The minimal and maximal area of flaps was 4era x 2em and 22cm x 12era, respectively. The flaps with the width less than 7em were sutured directly, and split- thickness skin graft was used in the case of the width more than 7cm. Re- sults The flaps of the 15 cases were followed up during a 12 - month （ by average） period, ranging from 3 months to 24 months anti sur- vived completely and got primary wound healing. One flap underwent distal skin flap necrosis and eventually healed by frequent dressing changes. The skin of recipient region was smooth and moderate thickness, and the flaps function of hand and foot was recovered well. Conclusion The free anterolateral thigh flap has a good efficacy in repairing soft tissue defects of hand and foot.