带蒂股前外侧筋膜皮瓣在会阴及腹股沟缺损修复中的应用
[The application of pedicled anterolateral thigh fasciocutaneous flaps for reconstruction of perineal and inguinal defects].
作者信息
Wang Xian-cheng, Qiao Qun, Liu Zhi-fei, Zhao Ru, Zhao Yu-ming, Wang Cong-feng, Zeng Ang, Qi Ke-ming
机构信息
Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Beijing, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2006 Mar;22(2):127-9.
OBJECTIVE
To evaluate a method for the reconstruction of defects of perineum and groin with pedicled anterolateral thigh fasciocutaneous flaps.
METHODS
From July 2003 to February 2005, 12 pedicled anterolateral thigh fasciocutaneous flap based on the perforators of lateral circumflex femoral artery had been designed and transferred to the defects of perineum and groin.
RESULTS
Anterolateral thigh fasciocutaneous island flaps were performed in twelve patients. The size of the transferred flap ranged from 8 cm x 11 cm to 18 cm x 20 cm. Only one patient developed superficial cutaneous necrosis in the posterior aspect of the flap because of fecal contamination and infection. The wounds healed secondarily.
CONCLUSIONS
Despite variable vascular anatomy and technical difficulties in elevating the anterolateral thigh flap, the anterolateral thigh flap is a good choice for perineum and groin reconstruction.
目的
评估一种采用带蒂股前外侧筋膜皮瓣修复会阴及腹股沟缺损的方法。
方法
2003年7月至2005年2月，设计并转移了12块以旋股外侧动脉穿支为蒂的股前外侧筋膜皮瓣至会阴及腹股沟缺损处。
结果
对12例患者实施了股前外侧筋膜皮岛瓣手术。转移皮瓣大小为8 cm×11 cm至18 cm×20 cm。仅1例患者因粪便污染和感染，皮瓣后侧出现浅表皮肤坏死，伤口二期愈合。
结论
尽管股前外侧皮瓣的血管解剖存在变异且在掀起皮瓣时存在技术困难，但股前外侧皮瓣仍是会阴及腹股沟重建的良好选择。
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