股前外侧分叶皮瓣修复足踝部相邻两处创面的临床疗效

doi:10.3760/cma.j.cn101202-20230331-00094

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摘要目的探讨股前外侧分叶皮瓣修复足踝部相邻两处创面的临床疗效。方法病例系列报告。纳入2017年5月—2021年6月苏州瑞华骨科医院收治的13例26处足踝部相邻两处创面患者的临床资料,其中男10例、女3例,年龄27~65岁,平均47.5岁,单个创面面积6.0 cm×3.0 cm~15.0 cm×7.0 cm。均采用游离股前外侧分叶皮瓣修复创面,其中分叶共干型皮瓣8例,非共干采用穿支内增压形成共干型皮瓣5例。术后定期随访,采用股前外侧皮瓣综合评价量表对股前外侧皮瓣恢复情况进行评价,患肢功能恢复情况采用美国足踝外科协会（AOFAS）评分量表进行评价。结果 13例26个皮瓣均完全成活,无血管危象发生。大腿供区均直接缝合并一期愈合,供区下肢功能无影响。患者术后均获随访,随访时间6~26个月,平均15.3个月。末次随访时,皮瓣色泽、质地、弹性良好,皮瓣温、痛、触觉部分恢复,皮瓣两点辨别觉未恢复,股前外侧皮瓣恢复评价优4例、良9例,患肢功能评价优6例、良7例。结论根据受区创面的特点与修复需求,采用股前外侧分叶皮瓣修复足踝部相邻两处创面,设计灵巧,既可减少皮瓣供区数量及供区并发症,又可有效覆盖创面,修复效果良好,是目前针对足踝部相邻两处创面较为理想的修复方式。

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	杨亮
	周荣
	巨积辉
	牛泽峰
	郭礼平
	耿超

关键词 ：游离组织瓣, 股前外侧皮瓣, 显微外科技术, 创面, 修复

收稿日期: 2023-03-31

基金资助:江苏省研究生科研与实践创新计划（SJCX20_1076）; 苏州市民生科技项目关键技术应用研究（SS202092）; 苏州市卫生科教临床重点病种诊疗技术专项（LCZX202026）

通讯作者: 周荣,Email：zhourong801024@foxmail.com

引用本文:

杨亮, 周荣, 巨积辉, 牛泽峰, 郭礼平, 耿超. 股前外侧分叶皮瓣修复足踝部相邻两处创面的临床疗效[J]. 中华解剖与临床杂志, 2023, 28(9): 619-623.
Yang Liang, Zhou Rong, Ju Jihui, Niu Zefeng, Guo Liping, Geng Chao. Clinical efficacy of bilobed anterolateral thigh perforator flap for repairing two adjacent wounds in the foot and ankle. Chinese Journal of Anatomy and Clinics, 2023, 28(9): 619-623.

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http://www.cjac.com.cn/CN/10.3760/cma.j.cn101202-20230331-00094 或 http://www.cjac.com.cn/CN/Y2023/V28/I9/619

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