[1]林 樾,谭 谦,王淑琴,等. 股前外侧穿支皮瓣游离移植在复杂创面修复中的应用及其并发症处理[J].中国美容医学,2019,(04):4-7.
 LIN Yue,TAN Qian,WANG Shu-qin,et al. Application of Free Anterolateral Thigh Perforator Flaps in Complex Wound Repairand Management of Complications[J].Medical Aesthetics and Beauty,2019,(04):4-7.
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 股前外侧穿支皮瓣游离移植在复杂创面修复中的应用及其并发症处理
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年04期
页码:
4-7
栏目:
出版日期:
2019-04-15

文章信息/Info

Title:
 Application of Free Anterolateral Thigh Perforator Flaps in Complex Wound Repair
and Management of Complications
文章编号:
1008-6455(2019)04-0004-04
作者:
林 樾谭 谦王淑琴许 澎葛华强燕 辛徐 晔倪 健
Author(s):
LIN YueTAN QianWANG Shu-qinXU PengGE Hua-qiangYAN XinXU YeNI Jian
关键词:
[关键词]股前外侧穿支皮瓣游离皮瓣移植血管危象复杂创面并发症
Keywords:
Key words: anterolateral thigh perforator flap free flap transplantation vascular crisis complex wound complication
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的:评估游离股前外侧穿支皮瓣修复复杂创面的疗效,讨论手术并发症的原因及处理方法。方法:回顾笔者科室
2015年1月-2018年8月收治的24例复杂创面患者的临床资料,共行25块股前外侧穿支皮瓣游离(肌皮瓣5例)移植修复创面。
皮瓣切取面积8cm×10cm~20cm×20cm,术中吻合1根动脉,1~2根伴行静脉。结果:所有患者随访时间6~36个月,皮瓣均
成活,其中术后2例出现血管危象,经血管探查及重新吻合、桥接血管后血管再通;2例皮瓣下积液,经换药处理后痊愈。皮
瓣供区均无明显并发症发生。结论:应用游离股前外侧穿支皮瓣修复复杂创面效果良好,供区损伤小,针对血管危象等严重
并发症,需做到早发现、早处理,手术是唯一有效治疗手段。

Abstract:
Abstract: Objective To evaluate the curative effect of profitable anterolateral femoral skin flaps in repairing complex
wounds, and to discuss the causes and treatment of surgical complications. Methods The clinical data of 24 patients with
complex wounds treated in our department from January 2015 to August 2018 were reviewed. A total of 25 free anterolateral
thigh perforator flaps (5 myocutaneous flaps) were transplanted to repair the wounds. The area of the flap was 8cm×10cm-
20cm×20cm. One artery was anastomosed and one to two accompanying veins were anastomosed during the operation.
Results All patients were followed up for 6 to 36 months, and the flaps survived. Among them, 2 cases had vascular crisis
after operation, which was recanalized after vessel exploration, anastomosis and bridging. 2 cases had subcutaneous effusion
and were cured after dressing change. There were no obvious complications in the donor site of the flaps. Conclusion Free
anterolateral thigh perforator flaps are effective in repairing complex wounds with less damage to donor site. For serious
complications such as vascular crisis, early detection and treatment are needed. Surgery is the only effective treatment.

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[1]吴青竹,黄凤梅.基于ADOPT问题解决模式的个体化护理在口腔颌面部肿瘤切除后创面修复患者中的应用观察[J].中国美容医学,2021,(12):170.
 WU Qing-zhu,HUANG Feng-mei.Application of Individualized Nursing Based on Adopt Problem-Solving Model in Repairing the Wound of Patients with Oral And Maxillofacial Tumors[J].Medical Aesthetics and Beauty,2021,(04):170.

更新日期/Last Update: 2019-05-05