Masquelet A C, Valenti P, Destable M D, Moreau C, Lamour A, Dubert T
Service de Chirurgie Orthopédique et Réparatrice, Hôpital Avicenne, Bobigny.
Chirurgie. 1991;117(2):181-5.
In thirteen patients, the repair of a soft tissue defect of the lower limb required a free tissue transfer revascularized by microvascular grafts. The indication of vascular grafting was either the absence of vessels or inadequate recipient vessels. Proximal anastomoses were performed on the femoral artery and the femoral vein or the long saphenous vein. All the transfers were done in one stage procedure. In two cases, a transitory arteriovenous shunt was established. Three flaps out of thirteen have been lost by thrombosis. The discussion concerns the causes of the failures and the indication of the establishment of a transitory or a temporary arterioveinous shunt prior to free flap transfer.
在13例患者中，下肢软组织缺损的修复需要通过微血管移植进行游离组织移植。血管移植的指征是没有血管或受区血管不足。近端吻合在股动脉、股静脉或大隐静脉上进行。所有移植均在一期手术中完成。2例患者建立了临时性动静脉分流。13个皮瓣中有3个因血栓形成而失败。讨论了失败的原因以及在游离皮瓣移植前建立临时性或暂时性动静脉分流的指征。
