| 张有来,李舒琳,陆九州,等.游离股前外侧皮瓣在复杂头皮软组织缺损中的应用.骨科,2015,6(5): 240-243. |
| 游离股前外侧皮瓣在复杂头皮软组织缺损中的应用 |
| Anterolateral thigh flap in complex scalp defects |
| 投稿时间：2015-08-18 |
| DOI：10.3969/j.issn.1674-8573.2015.05.006 |
| 中文关键词: 头皮缺损 软组织损伤 外科皮瓣 皮肤移植 |
| 英文关键词: Scalp defect Soft tissue injuries Surgical flaps Skin transplantation |
| 基金项目:国家卫计委公益性行业科研专项项目（No.201402016） |
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| 中文摘要: |
| 目的 探讨游离股前外侧皮瓣修复复杂头皮软组织缺损的临床疗效。方法 应用游离股前外侧皮瓣修复20例复杂头皮软组织缺损患者，其中颅骨外露6例，合并颅骨缺损3例，合并感染4例，合并头皮瘢痕挛缩9例。头皮缺损面积6 cm×10 cm～22 cm×13 cm，颅骨外露6 cm×8 cm～21 cm×12 cm。术后随访观察疗效。结果 术后随访6个月至2年，19例皮瓣完全成活，皮瓣柔软，无明显色素沉着。1例小儿患者术后第3天出现皮瓣远端颅顶部部分发黑，予以换药、温盐水热敷、蒂部缝线拆除后皮瓣成活，但遗留色素沉着。20例患者中，仅1例发生供区植皮边缘坏死，予以换药处理后创面愈合。结论 游离股前外侧皮瓣可有效修复创伤及肿瘤所致的复杂头皮软组织缺损。 |
| 英文摘要: |
| Objective To discuss the clinical efficacy of the free anterolateral thigh flap in complex scalp soft tissue defects. Methods Twenty patients with complex scalp defects were treated with the free anterolateral thigh flap. Six cases had skull exposure, 3 were complicated with skull defect, 4 with soft tissue infection, and 9 with scar contracture. The extent of defect ranged from 6 cm×10 cm to 22 cm×13 cm. The size of skull exposure was between 6 cm×8 cm to 21 cm×12 cm. The clinical efficacy after operation was observed. Results During a follow-up period of 6 months to 2 years, of 20 patients undergoing the free anterolateral thigh flap scalp repair, 19 cases achieved satisfactory outcome. The flaps were soft without significant dyspigmentation. One case had apical scaring and hyperpigmentation, possibly caused by prolonged ischemia on the edge of the flap. The flap survived after conservative treatment. Conclusion Complex scalp defects can be effectively treated with the free anterolateral thigh flap. |
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