股前外侧皮瓣:万能皮瓣,修复利器——历38年逾千例临床应用研究经验体会

Anterolateral thigh flap:omnipotent flap and implement of reconstruction-Experience of more than 1,000 clinical applications for 38 years

股前外侧皮瓣由于其解剖学特点的优异性及广泛的适用性,被誉为“万能皮瓣”。本文是作者38年逾千例股前外侧皮瓣临床应用的心路历程和总结。文中分享了作者学习、研究、应用股前外侧皮瓣的经历,介绍了拓展该皮瓣应用范围和发现高位穿支的过程,总结了手术适应证和术中操作技巧。以期为股前外侧皮瓣更好的研究、发展和推广,作出绵薄的贡献。

Anterolateral thigh flap is known as"omnipotent flap"because of its excellent anatomical characteristics and wide applicability.This article is a summary of the clinical application of more than 1,000 cases of anterolateral femoral flap in 38 years.We share the author's experience of learning,researching and applying the anterolateral thigh flap,introduce the process of expanding the application range of the flap and discovering the high perforating branch,and summarize the operative indications and skills.It is hoped to make a modest contribution to the research,development and promotion of anterolateral thigh flap.