游离股前外侧穿支皮瓣修复四肢软组织缺损的效果观察

Effect of Free Anterolateral Thigh Perforator Flap in the Repair of Limb Soft Tissue Defects

目的:探讨游离股前外侧穿支皮瓣修复四肢软组织缺损的临床效果。方法:自某院收治的四肢软组织缺损患者中随机选取40例,实施游离股前外侧穿支皮瓣修复治疗,分析其疗效。结果:本组40例患者皮瓣均顺利成活,术后随访(14.5±1.5)个月,所有患者皮瓣色泽、外形均与受区较为相似,且患者供区肢体功能均较为正常,无明显受限现象发生;本组中22例行缝接神经的皮瓣感觉恢复至S2~S3,且治疗后患者疼痛程度评分(VAS)明显低于治疗前(P<0.05)。结论:游离股前外侧穿支皮瓣修复在改善四肢软组织缺损病人病情中可发挥积极作用,值得推广。

Objective:To investigate the clinical effect of free anterolateral thigh perforator flap in the repair of limb soft tissue defects. Methods:40 patients with limb soft tissue defects treated in a hospital were randomly selected to take a free anterolateral thigh perforator flap,and the efficacy was analyzed. Results:The flaps of 40 patients in this group survived successfully. After being followed up for(14.5±1.5) months,the color and shape of the flaps of all patients were similar to those of the recipients. The limb functions in the patients’ donor area were relatively normal and there was no obvious restricted phenomena occurred;In 22 patients in this group,the flaps of septal nerves recovered to S2~S3,and the visual analogue scale(VAS) after treatment were significantly lower than those before treatment(P<0.05). Conclusion:The free anterolateral thigh perforator flap can play a positive role in improving the condition of patients with limb soft tissue defects and is worthy of promotion.