首页> 中文期刊>中华显微外科杂志 >延迟逆行股前外侧带蒂皮瓣修复膝部软组织缺损16例临床随访

延迟逆行股前外侧带蒂皮瓣修复膝部软组织缺损16例临床随访

摘要

Objective To report clinical follow-up of 16 cases delayed reverse anterolateral thigh pedicled flap for reconstruction soft-tissue defect of the knee.Methods From January,2006 to January,2013,16 patients (10 male,6 female) with soft-tissue defect in the knee underwent reconstruction with a delayed reverse anterolateral thigh pedicled flap.They ranged in age from 30 to 58 years (mean,46 years).Soft-tissue defect size in the knee were from 10.0 cm × 12.0 cm-10.5 cm × 20.0 cm.The septocutaneous and musculocutaneous perforator flaps were 5 and 11 cases respectively.The delay period ranged from 9 to 15 days (mean,12 days).Temporary wound coverage was achieved by vacuum sealing drainage during the delay period.Results One patient developed small wound dehiscence,which spontaneous healed at one month after surgery.All the flaps survived completely.Follow-up period ranged from 2.5-4.0 years (mean,3 years) postoperatively.A good contour was confirmed at the recipient area.The function of the lower extremity were evaluated with LEM.Very good results were obtained in 9 cases,good in 6 cases and fair in 1 case.Satisfactory clinical results were obtained in this series.Conclusion This technique is safe,reliable,and particularly suitable for patients with diabetes or larger flap.%目的 报道延迟逆行股前外侧带蒂皮瓣修复膝部软组织缺损16例临床随访. 方法 自2006年1月至2013年1月,应用延迟逆行股前外侧带蒂皮瓣修复膝部软组织缺损16例(男10例,女6例).患者年龄30~58岁,平均46岁.软组织缺损范围10.0 cm×12.0 cm~10.5 cm×20.0 cm.间隔皮穿支和肌皮穿支皮瓣分别是5例和11例.皮瓣延迟时间:9~ 15d,平均12d.延迟期间创面暂时应用VSD覆盖. 结果 1例皮瓣发生小的皮缘裂开,术后1个月自然愈合,皮瓣全部成活.术后随访2.5~4.0年,平均3年,受区外形较好.下肢功能用临床下肢评分(LEM)标准评定其疗效,优9例,良6例,尚可1例.本组取得了较满意的临床效果. 结论 这种技术安全、可靠,很适用于糖尿病患者或皮瓣切取较大者.

著录项

相似文献

  • 中文文献
  • 外文文献
  • 专利

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号