股前外侧皮瓣移植修复背部复杂组织烧伤缺损临床效果观察.docVIP

股前外侧皮瓣移植修复背部复杂组织烧伤缺损临床效果观察 　　[摘要] 目的 探讨和观察股前外侧皮瓣在背部组织烧伤缺损的临床修复中的疗效。 方法 回顾性研究2006年1月～2012年12月浙江省东阳市人民医院完成的27例股前外侧皮瓣移植，分析术后愈合情况及血管危象、感染等并发症情况。 结果 27例患者中24例在Ⅰ期和Ⅱ期愈合，且效果较好。1例股前外侧皮瓣因动脉栓塞而失败，1例出现静脉栓塞，经抢救后好转成功，2例出现感染，其它无并发症出现，其余23例术中、术后均未出现血管危象等现象，成功率为96.3%，随访恢复效果均较好。 结论 背部的复杂组织烧伤缺损患者，股前外侧皮瓣移植修复是进行修复的理想选择，只要严格掌握手术适应证，就可获得预期的良好效果。 [关键词] 股前外侧皮瓣；移植修复；背部；组织烧伤缺损 [中图分类号] R622.1 [文献标识码] A [文章编号] 1673-7210（2014）02（a）-0055-03 Clinical effect observation of femoral anterolateral flap transplantation in the renovation of complex back tissue burns defect JIN Kaipin1 LU Zhenggang1 MA Xu1 ZHOU Zhongliang1 YANG Yadong2 1.Department of Plastic Surgery，People’s Hospital of Dongyang City， Zhejiang Province， Dongyang 322100， China； 2.Zhejiang Academy of Medical Sciences， Zhejiang Province， Hangzhou 310007， China [Abstract] Objective To observe the clinical effect of femoral anterolateral flap transplantation in the renovation of complex back tissue burns defect. Methods 27 patients completed the anterolateral thigh flap surgery from January 2006 to December 2012 in People’s Hospital of Dongyang City were studied retrospectively. The healing condition， ascular crisis or other complications were analyzed. Results In 27 cases， 24 cases were healed up in stage Ⅰ and stage Ⅱ and the effect was good. 1 case of thigh flap failed due to arterial embolism， 1 case with venous thrombosis was rescued successfully， 2 cases with infection were found， and no vascular crisis or other complications was found in 23 cases during and after operation. The success rate was 96.3%. The effect of recovery was good according to the following-up visit. Conclusion For the patients with complex tissue burns defect on the back， the femoral anterolateral flap transplantation is the ideal choice to repair the wound， and can obtain good effect if controlling operation indication restrictedly. [Key words] Anterolateral thigh flap； Transplantation； Back； Tissue burns defect 游离股前外侧皮瓣是由我国学者于1984年最早提出，其后国