目的：探讨股前外侧皮瓣在修复四肢软组织缺损中的临床效果。方法应用股前外侧皮瓣修复30例四肢软组织缺损患者,创面缺损面积5 cm ×7 cm ~15 cm ×29 cm,创面均有深层组织外露；皮瓣切取面积为6 cm ×8 cm ~16 cm ×30 cm。结果30例中29例皮瓣全部成活,1例皮瓣坏死,二期行腹部皮瓣修复顺利成活。患者均获随访,时间6~36个月,患肢外观、感觉及功能均满意。结论股前外侧皮瓣可切取面积大,血运丰富,部位隐蔽,不损伤主干血管,是修复软组织缺损的理想皮瓣。%Objective To evaluate the clinical efficacy of anterolateral thigh flap in treating the soft tissues defects and damage of extremities. Methods 30 cases of soft tissues defects and damage of extremities were treated with the repair of anterolateral thigh flap. The defect size of wound surface ranged from 5 cm × 7 cm to 15 cm × 29 cm. All of the cases suffered a deep tissue exposure on the wound surface. The area of incised flap ranged from 6 cm × 8 cm to 16 cm × 30 cm. Results 29 flaps survived with only one flap necrosis, but this case survived after abdominal flap repair. All of the cases were followed up from 6 to 36 months, the appearance, feeling and functions of all the limbs were optimal. Conclusions Anterolateral thigh flap features large incision area, rich vascular circulation, covert lo-cation and long vascular pedicle without main vascular damage, which is ideal for repair of extremity skin defect.
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