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游离股前外侧皮瓣与筋膜瓣修复手足部软组织缺损
引用本文:张友,张功林,章鸣.游离股前外侧皮瓣与筋膜瓣修复手足部软组织缺损[J].临床骨科杂志,2005,8(3):225-226.
作者姓名:张友  张功林  章鸣
作者单位:宜昌市夷陵医院骨科,湖北,宜昌,444100;大丰同仁骨科医院骨科三病区,江苏,大丰,224100
摘    要:目的比较股前外侧皮瓣与筋膜瓣修复手足部软组织缺损的疗效。方法15例手足软组织缺损分别采用游离股前外侧皮瓣或筋膜瓣修复。结果随访4~15个月,所有患者组织瓣均成活,其中1例曾发生血管危象,经减张、解痉后血供恢复。用皮瓣修复的病例在外观及功能上不如筋膜瓣满意。结论游离股前外侧筋膜瓣是修复手足部大面积软组织缺损的理想方法。

关 键 词:筋膜瓣  皮肤移植  软组织损伤
文章编号:1008-0287(2005)03-0225-02
修稿时间:2004年10月21

Free anteriolateral skin flap and fascia lata flap of thigh for repair of hand and foot soft tissue defect
ZHANG You,ZHANG Gong-lin,ZHANG Ming.Free anteriolateral skin flap and fascia lata flap of thigh for repair of hand and foot soft tissue defect[J].Journal of Clinical Orthopaedics,2005,8(3):225-226.
Authors:ZHANG You  ZHANG Gong-lin  ZHANG Ming
Abstract:Objective To compare the anteriolateral skin flap and fascia lata flap of thigh for repair of hand and foot soft tissue defect. Methods 15 cases of hand and foot soft tissue defects were repaired with anteriolateral skin flap and fascia lata flap of thigh, respectively. Results All cases were followed up for 4~15 months, and all flaps survived. 1 complicated with vascular crisis and blood flow was recovered after relief incision and antispasmodic treatment. The appearance and function were better in fascia lata flap than in skin flap. Conclusions Free anteriolateral fascia lata flap of thigh transposition is ideal for repair of hand and foot soft tissue defect.
Keywords:fascia flap  skin transplantation  soft tissue injuries
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