股前外侧穿支皮瓣在四肢皮肤软组织缺损修复中的应用体会

Application Experience of Anterolateral Femoral Perforator Flap in the Repair of Limb Soft Tissue

目的:探讨游离股前外侧穿支皮瓣在肢体软组织缺损修复中的临床应用体会。方法:2016年2月至2019年12月采用游离股前外侧穿支皮瓣移植修复四肢皮肤软组织缺损患者12例。结果:本组12例患者12例皮瓣,9例完全成活,3例皮瓣坏死,术后随访6~36个月,皮瓣成活均良好,感觉部分恢复。结论:游离股前外侧穿支皮瓣移植是修复肢体软组织缺损较为理想的一种治疗方式。

Objective: To explore the clinical application of free anterolateral femoral perforator flap in the repair of limb soft tissue defects. Methods: From February 2016 to December 2019, 12 patients with skin and soft tissue defects of limbs were repaired with free anterolateral femoral perforator flap. Results: In the 12 cases of skin flap, 9 cases survived completely, skin flap necrosis was observed in 3 cases;6~36 months after follow-up, the skin flap survived well, and the sensation was partially recovered. Conclusion: Transplantation of free anterolateral femoral perforator flap is an ideal treatment for repairing soft tissue defect of limbs.