股前外侧游离皮瓣治疗上肢大面积皮肤缺损合并感染疗效

Anterolateral thigh free flap treatment of upper limb large skin defect and coinfection

目的探讨显微外科治疗上肢大面积皮肤缺损合并感染的临床疗效，总结医学经验，从而为临床提供借鉴依据。方法选取医院2010年3月-2012年3月收治的上肢大面积皮肤缺损合并感染患者48例，均采用股前外侧皮瓣对其缺损部位进行修复；调查治疗后皮肤缺损合并感染患者治愈率。结果选取病例远近端血管口径均相差不大，端端吻合良好，所有患者皮瓣均存活，未出现血管危险情况，有效控制了感染；术后6～22个月进行回访，创面恢复良好，未出现明显性肢体障碍，所有患者皮瓣均存活，有效控制了感染，总治愈率85．4％。结论采用显微外科治疗上肢大面积皮肤缺损合并感染，能够有效地控制感染，选用股前外侧游离皮瓣修复上肢大面积皮肤缺损是较佳选择。

OBJECTIVE To explore the clinical efficacy of microsurgical treatment of upper limb large skin defect and infection, summarize the medical experience to provide a reference for clinical experience. METHODS From March 2010 to March 2012,48 patients with upper limb large skin defect complicated with infection were included, using the anterolateral thigh flap to repair its defect. to investigat the cure rate. RESULTS Proximal and distal vascular of caliber the selected cases were net obvioes diffevent less good anastomosis, flap of all patients were alive, did not appear vascular risk, effectivly control of the infection. Returniy visite 6 to 22 months after surgery, the wound recovered well, did not appear obvious limb-dysfumtion in patients, which effective controled the infection andlithe total effective rate was 85. 42 %. CONCLUSION The microsurgical treatment of upper limb large skin defect complicateh with infection can effectively control the infection, the selection of the anterolateral thigh free flap to repuir upper extremity large skin defect is the better choice.