股前外侧游离皮瓣桥接修复上肢大面积皮肤血管缺损

目的 探讨上肢大面积皮肤合并主干血管缺损的修复方法.方法 利用股前外侧皮瓣血管蒂的解剖特点,在修复上肢大面积皮肤缺损的同时,用旋股外侧血管降支的终末支或粗大肌支桥接修复上肢主干供血血管.结果 自2003年以来,于临床应用5例,术后皮瓣全部成活,随访8～24个月,皮瓣质地柔软,肢体外形及关节功能恢复满意.肢体远端及皮瓣的血液循环不受天气影响,桡动脉、尺动脉搏动有力,供区未见明显功能障碍.结论 股前外侧皮瓣是修复上肢大面积皮肤合并血管缺损的较佳选择.

Repair of the large skin and vessel defect of upper arm with free anterolateral thigh flap

Objective To explore an effective method for repairing the large skin and vessel defect of upper arm. Methods The large skin defect was repaired by the free anterolateral thigh flap. The vessel defect was reconstructed with the end branch of descending branch from lateral femoral circumflex artery, or the large muscular branch through bridge-like vascular anastomosis. Results Since 2003, 5 cases were treated. All the flaps survived completely with a soft tissue texture. They were followed up for 8-24 months.The cosmetic and functional results were both satisfactory with less morbidity in the donor sites. The blood supply of the flap and the end of extremities was not affected by weather. Conclusions Anterolateral thigh flap is very suitable for large skin and vessel defect of upper arm.