带蒂股外侧肌（皮）瓣在下肢复杂性创面修复中的应用

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (5): 440-.

带蒂股外侧肌（皮）瓣在下肢复杂性创面修复中的应用

出版日期:2023-10-09 发布日期:2023-10-31

The application of pedicled vastus lateralis-myocutaneous flap in the repair of complex wounds in the lower limbs#br#

Online:2023-10-09 Published:2023-10-31

摘要/Abstract

摘要：

目的　探讨带蒂股外侧肌（皮）瓣移植修复下肢复杂性皮肤软组织缺损创面的效果。

方法　2016 年 1 月至2021 年 12 月，共 9 例患者，采用带蒂股外侧肌（皮）瓣移植修复下肢皮肤软组织缺损。其中，顺行肌皮瓣 4 例，逆行肌（皮）瓣 5 例。致伤原因：交通事故 4 例、烧伤 1 例、恶性肿瘤 4 例。缺损范围：6.0 cm×4.0 cm~20.0 cm×8.0 cm，肌（皮）瓣切取范围 5.0 cm×5.0 cm~23.0 cm×7.0 cm。供区直接缝合或植皮修复。结果　术后所有肌（皮）瓣均成活，供区与受区均一期愈合。术后随访 3~12 个月，移植后的肌（皮）瓣具有良好的形状和质地，下肢功能恢复情况好。供区直接缝合者外观良好，植皮修复者外观欠佳。

结论　带蒂顺行和逆行股外侧肌（皮）瓣面积大、血供可靠、运用灵活，是修复大腿和小腿上段复杂性皮肤软组织缺损的良好选择。

关键词:

股外侧肌（皮）瓣 , 　带蒂皮瓣 , 　下肢创面

Abstract:

Objective　To investigate the efficacy of pedicled vastus lateralis-myocutaneous flap in repairing complex

wounds of the lower limbs. Methods　From Jan. 2016 to Dec. 2021, pedicled vastus lateralis-myocutaneous flap were used to

repair complex wounds in the lower limbs in 9 cases, including 4 cases of anterograde flap and 5 cases of retrograde flap. The

wounds were caused by traffic accident in 4 cases, burn in 1 case and the excision of malignant tumor in 4 cases. The defect

ranged from 6.0 cm×4.0 cm to 20.0 cm×8.0 cm, and the harvested flaps ranged from 5.0 cm×5.0 cm to 23.0 cm×7.0 cm.

The donor sites were sutured directly or repaired by skin-grafting. Results　All the flaps survived well and both the donor and

recipient sites were primarily healed. After 3-12 months, the myocutaneous flap or muscle flap combined with skin-grafting had

good texture, and the recovery of function was good. Cases with direct suture in donor area had good appearance, but cases with

skin-grafting had poor appearance. Conclusion　The pedicled vastus lateralis-myocutaneous flap has large area, reliable blood

supply and can be transferred flexibly. This flap is a good choice for repairing complex wounds in the thigh and upper legs.

Key words:

　Vastus lateralis-myocutaneous flap, 　Pedicled flap, 　Wound in lower Limbs

刘嘉玥, 陈勇, 王倩, 等.

带蒂股外侧肌（皮）瓣在下肢复杂性创面修复中的应用

[J]. 组织工程与重建外科杂志, 2023, 19(5): 440-.

LIU Jiayue, CHEN Yong, WANG Qian, et al. The application of pedicled vastus lateralis-myocutaneous flap in the repair of complex wounds in the lower limbs#br#[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(5): 440-.