[1]任洪军,李斌,赵占卫.股前外侧穿支皮瓣修复软组织恶性肿瘤切除术后创面缺损[J].实用手外科杂志,2022,36(01):0.[doi:10.3969/j.issn.1671-2722.2022.01.023]
 REN Hongjun,LI Bin,ZHAO Zhanwei (Department of Hand Surgery,et al.Application of anterolateral thigh perforator flap (free or pedicled) to treat wound defects after resection soft tissue malignant tumors[J].Journal of Practical Hand Surgery,2022,36(01):0.[doi:10.3969/j.issn.1671-2722.2022.01.023]
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股前外侧穿支皮瓣修复软组织恶性肿瘤切除术后创面缺损
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
36
期数:
2022年01期
页码:
0
栏目:
出版日期:
2022-03-20

文章信息/Info

Title:
Application of anterolateral thigh perforator flap (free or pedicled) to treat wound defects after resection soft tissue malignant tumors
作者:
任洪军1 李斌2 赵占卫1
(1.北京水利医院 手外科, 北京 100036;2.北京积水潭医院 手外科, 北京 100035)
Author(s):
REN Hongjun LI Bin ZHAO Zhanwei (Department of Hand Surgery Water Conservancy Hospital of Beijing City Beijing 100036 China)
关键词:
关键词: 股前外侧穿支皮瓣 游离皮瓣 软组织恶性肿瘤
DOI:
10.3969/j.issn.1671-2722.2022.01.023
摘要:
摘 要:目的 探讨股前外侧穿支皮瓣(游离或带蒂)修复软组织恶性肿瘤切除术后创面缺损的临床效果。方法 选取2017年1月-2020年12月收治的20例软组织恶性肿瘤切除患者为研究对象,根据皮瓣手术方式分为股前外侧穿支游离皮瓣组(14例)和股前外侧穿支带蒂皮瓣组(6例),比较两组围术期情况(手术时长、皮瓣愈合时间)以及术后临床疗效,记录并比较两组术后并发症发生情况及术后供区功能恢复情况。结果 带蒂皮瓣组手术时间少于游离皮瓣组(P <0.05),两组皮瓣愈合时间差异无统计学意义(P >0.05);术后随访6个月,两组一次性皮瓣成活率均达到100.00%,差异无统计学意义(P >0.05);带蒂皮瓣组术后发生1例静脉回流障碍,两组并发症发生率差异无统计学意义(P >0.05)。两组股前外侧区均完成I期愈合,下肢均未出现任何功能障碍。结论 游离和带蒂股前外侧穿支皮瓣修复骨与软组织恶性肿瘤切除术后创面缺损的临床疗效相当,但前者在重建灵活性方面有一定优势,且两组术后并发症发生率差异无统计学意义。

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更新日期/Last Update: 2022-03-20