游离嵌合股前外侧皮腱瓣联合股直肌瓣修复腕背复杂组织缺损

中华显微外科杂志 Pub Date : 2018-10-25 DOI:10.3760/CMA.J.ISSN.1001-2036.2018.05.010

A. Guo, D. Song, Liang-jun Zheng, Yan-quan Jin, Cai Lingmin, Zan Li

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引用次数: 0

摘要

目的探讨股直肌肌瓣游离嵌合体股前外侧皮腱皮瓣修复腕背复杂组织缺损的临床效果。方法自2005年6月至2014年3月，采用股直肌肌瓣游离嵌合体股前外侧皮腱皮瓣修复腕背复杂组织缺损15例，男12例，女3例，年龄18～52岁。皮肤和软组织缺损范围从8.0厘米×5.5厘米到22.0厘米×12.0厘米，均伴有趾伸肌腱丢失。肌腱缺损范围从5.0厘米到12.0厘米（平均7.6厘米）。皮瓣大小为9.0cm×6.5cm～23.0cm×13.0cm，蒂长4.0cm～7.0cm，平均5.3cm。结果皮瓣全部成活，无术后并发症发生。随访时间12个月～36个月，皮瓣质地灵活。没有发现肥大，皮肤颜色与手部皮肤相似。腕屈伸肌功能恢复良好。皮瓣的2点辨别范围为9mm至15mm（平均12.5mm）。结论股直肌肌瓣游离嵌合体股前外侧皮腱皮瓣是修复腕背复杂组织缺损的良好选择。关键词：大腿前外侧皮瓣；移植；股直肌；嵌合皮瓣；肌腱缺损；腕关节

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Free chimeric anterolateral thigh cutaneotendinous flap with rectus femoris muscular flap for repairing the complex tissue defect of dorsum wrist

Objective To explore the clinical outcome of free chimeric anterolateral thigh cutaneotendinous flap with rectus femoris muscular flap for repairing the complex tissue defect of dorsum wrist. Methods From June, 2005 to March, 2014, free chimeric anterolateral thigh cutaneotendinous flap with rectus femoris muscular flap was used for repairing the complex tissue defect of dorsum wrist in 15 cases, which were 12 males and 3 females, and aged from 18 to 52 years old. The skin and soft tissue defect ranged from 8.0 cm×5.5 cm to 22.0 cm×12.0 cm. All accompanied with extensor digitorum tendon loss. The tendon defect ranged from 5.0 cm to 12.0 cm (7.6 cm on average). The flap size ranged from 9.0 cm×6.5 cm to 23.0 cm×13.0 cm. The pedicle length ranged from 4.0 cm to 7.0 cm (5.3 cm on average). Results All flaps survived, and no postoperative complications occurred. The followed-up time ranged from 12 months to 36 months, and the texture of flap was flexible. No bulky was noted, and skin color was similar to the hand skin. The flexor and extensor function of wrist recovered satisfying. The 2-point discrimination of flap ranged from 9 mm to 15 mm(12.5 mm on average). Conclusion Free chimeric anterolateral thigh cutaneotendinous flap with rectus femoris muscular flap is a good option for repairing the complex tissue defect of dorsum wrist. Key words: Anterolateral thigh flap; Transplantation; Rectus femoris muscle; Chimeric flap; Tendon defect; Wrist

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来源期刊

中华显微外科杂志

CiteScore

0.50

自引率

0.00%

发文量

6448

期刊介绍： Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.