游离股前外侧皮瓣移植修复四肢软组织缺损

Free anterolateral thigh flap repair of soft tissue defects

目的探讨游离股前外侧皮瓣移植修复四肢软组织缺损的术式，总结运用股前外侧皮瓣的临床体会。方法选用游离股前外侧皮瓣移植修复四肢皮肤软组织缺损的病人35例。软组织缺损面积最小为8cm×5cm，最大为26cm×16cm。皮瓣面积最小为10cm×6cm，最大为27cm×16cm。对皮瓣的外形、血液循环和感觉进行观测研究。结果本组35例．皮瓣完全成活32例；2例边缘部分坏死，经换药和皮片移植而愈合；1例完全坏死。35例中随访到26例，外形恢复满意。皮瓣质地柔软，厚度适中，有弹性，有排汗功能。皮瓣恢复保护性感觉。两点分辨觉为12-15mm左右。供区植皮对下肢功能无影响。结论游离股前外侧皮瓣移植修复四肢软组织缺损较为理想的术式。

purpose of free anterolateral thigh flap repair of soft tissue defects in the operation, summing up the use of the anterolateral thigh flaps Clinical Experience. Methods free anterolateral thigh skin flap repair of soft tissue defects in 35 cases of patients. Soft tissue defects of the smallest of 8 cm × 5cm, the largest of 26 cm × 16 cm, the flap of the smallest 10 cm × 6cm, the largest of 27 cm × 16 cm. The shape of the flap, the blood circulation and feel for observation and research. Results of this group of 35patients, 32 patients survived flap; two cases of partial necrosis edge, the dressing and skin graft and healing： one case of complete necrosis. 35 cases to 26 cases in the follow-up appearance resume satisfied with the soft texture of flap thickness convenient, flexible, perspiration function, the protective flap restore feeling 2：00 distinguish McGREGOR for about 12-15 mm. For the District skin had no effect on the function of lower limbs. Conclusion free anterolateral thigh flap repair of soft tissue defects in a better operation.