摘要
目的：根据显微镜下解剖观察尸体标本股前外侧皮瓣的血管构筑规律，探讨超薄型皮瓣的临床应用。方法：选用新鲜成人下肢标本5例10侧，用红色乳胶经股动脉灌注，模拟临床手术制作完成股前外侧皮瓣，在显微镜下修剪掉皮瓣多余的脂肪组织，保留皮瓣的营养血管网，观察营养动脉的走行、分布规律等构筑情况。在解剖学观察的基础上临床应用24例，修复手背、腕背等暴露部位创面。结果：观察到皮瓣的皮穿支血管多数情况下为2支以上，皮穿支穿出阔筋膜后即向不同方向发出干性分支，一般有2—5个分支，大多向外或前外侧走行。临床应用24例皮瓣全部成活，术后随访16例，随访时间3—72个月，外形、功能恢复满意，有部分病例恢复了保护性感觉。结论：超薄型股前外侧皮瓣血供可靠，修复后受区外形美观，是治疗手背、腕背等处皮肤软组织缺损的较好方法。
Objective：To explore the reliability of super thin anterolateral thigh flag by observing anatomical regulation under microscope. Methods ：5 cases （10 sides） of adult fresh legs specimen perfused with red latex were studied, through simulating the clinical operation. The needless adipose tissues on the flap were trimmed off with the aid of a microscope. Observing the origin, course, branches distributions of trophic - artery flap. Basic this anatomy study, 24 cases were transferred to reconstruct soft tissue defects. Results：All flaps survived completely. 16 cases of which were followed up for 3 to 36 months. The function and appearance were satisfactory. Conclusions： This kind of flap has the reliable blood supply, both function and shape of the district being accepted. It is a is a good method to cure the large - size soft issue defects.
出处
《解剖与临床》
2012年第4期297-300,共4页
Anatomy and Clinics
