Department of Microsurgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.
Medicine (Baltimore). 2022 Nov 11;101(45):e31661. doi: 10.1097/MD.0000000000031661.
To observe the clinical efficacy of free inguinal flaps with retrograde blood supply anastomosis to repair skin and soft tissue defects in the limbs. A total of 25 patients with soft tissue defects of the limbs treated from January 2019 to December 2021 were selected and repaired with free inguinal flaps anastomotic with retrograde blood supply. All 25 skin flaps survived; 1 patient had skin flap infection and the wound healed gradually after symptomatic treatment, and 1 patient had venous embolism and the skin flap survived after re-anastomosis. The patients were followed up for 6 to 18 months after the operation. After healing, the patient recovered satisfactorily, and the flap had a good appearance, texture, and flexibility; a reoperation was not required. The patient was satisfied with the effect of the treatment. Retrograde vascular anastomosis with the anterolateral femoral perforator flap is safe and reliable for repairing the soft tissue defects of the limbs. It is convenient for micromanipulation and can achieve satisfactory clinical results, and thus is an ideal repair method.
观察逆行血流吻合游离腹股沟皮瓣修复四肢皮肤软组织缺损的临床疗效。选取 2019 年 1 月至 2021 年 12 月收治的 25 例四肢软组织缺损患者，采用逆行血流吻合游离腹股沟皮瓣进行修复。25 例皮瓣全部成活；1 例患者皮瓣感染，经对症治疗后创面逐渐愈合，1 例患者发生静脉栓塞，再次吻合后皮瓣存活。术后对患者进行 6~18 个月随访，患者均痊愈，皮瓣外观、质地、弹性良好，无需再次手术，患者对治疗效果满意。股前外侧穿支皮瓣逆行血管吻合修复四肢软组织缺损安全可靠，便于进行微创手术，可获得满意的临床效果，是一种理想的修复方法。
