缝匠肌穿支肌皮瓣修复膝周软组织缺损的临床研究
The sartorius perforator flap repair soft tissue defect around knee: clinical research
目的 报道缝匠肌穿支(肌)皮瓣修复肢体组织缺损的临床方法及其效果。 方法 应用缝匠肌穿支(肌)皮瓣修复肢体组织缺损,其中带蒂转移修复6例,游离移植修复2例。 结果 所有带蒂及游离皮瓣均成活,颜色红润,质地与周围皮肤相近且有感觉。皮瓣供区疤痕较隐蔽,患者比较满意。 结论 用缝匠肌穿支(肌)皮瓣修复肢体组织缺损效果理想,是一种值得推广的供区。
Objective To investigate the clinical skill and effects of the sartorius perforator flap on treating soft tissue defects around knee. Methods The sartorius perforator flaps were selected carefully and applied to repair soft tissue defects around knee. In all patients, 6 received pedicle flap grafting, and 2 free flap. Results All flaps survived. The grafted skin patches were similar to healthy skin, and the scar of the flap donor area was well hided. Conclusions Ideal effects of the sartorius perforator flap on repairing soft tissue defects suggest that, it is a valuable donor selection.
缝匠肌 / 穿支肌皮瓣 / 软组织缺损 / 游离移植 / 显微修复
Artorius muscle / perforator flap / Soft tissue defect / Free grafting / Microsurgical repair
[1] 柴益民,林崇正,陈彦堃,等.腓动脉终末穿支蒂肥肠神经营养血管皮瓣的临床应用
[J].中华显微外科杂志,2001, 24(3): 167-169.
[2] 葛军委,黄东,张惠茹,等.远端蒂腓肠神经营养血管肌皮瓣的血供研究
[J].中国临床解剖学杂志,2011, 29(2):149-151.
[3] 张世民,王欣,陶友伦,等.小腿远端蒂穿支皮瓣修复足踝创面的蒂部改进
[J].中华显微外科杂志,2012,35(1): 23-26.
[4] 李玉坤,王保山,杨志贤,等.游离股前外侧穿支皮瓣的临床应用
[J].中华显微外科杂志,2009.32(2): 149-151.
[5] 唐举玉,李康华,廖前德,等.穿支皮瓣移植修复四肢软组织缺损108例
[J].中华显微外科杂志,2010.33(3): 186-189.
[6] 刘兴炎,文益民,葛宝丰,等.改进缝匠肌皮瓣逆行翻转修复小腿上端软组织缺损
[J].西北国防医学杂志,1991.12(3):43.
[7] 赵雁波,李志伟,刘海斌,等.缝匠肌皮瓣修复难治性胫骨上端创面
[J].实用手外科杂志,2010,24(3):227-288.
[8] Colwell A S,Donaldson M C,Belkin M, et al. Management of early groin vascular bypass graft infections with sartorius and rectus femoris flaps
[J]. Ann Plast Surg,2004,52(1):49-51.
[9] 杨晓东,丁茂超,梅劲,等.股前内侧穿支皮瓣的应用解剖学研究
[J].中国临床解剖学杂志, 2011, 29(6): 624 -628.
[10] Hupkens P, Van Loon B, Lauret GJ, et al. Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators
[J].Microsurgery,2010,30(1):43-49.
[11] 孙锋,黄东,吴伟炽,等.缝匠肌穿支皮瓣的应用解剖学研究
[J].中国临床解剖学杂志,2012,33(4):268-270.
[12] 何尚宽,徐达传,钟桂午,等.隐血管蒂缝匠肌皮瓣的应用解剖学
[J].中国临床解剖学杂志,1996,14(2):111-114.
广东省科技计划项目(2010B031600114)
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