应用Saphenous动脉和大隐静脉联合股前外侧皮瓣治疗截肢后皮肤缺损

L. Kong, H. Cheng, Tao Nie, Min Dai
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摘要

摘要背景 本研究的目的是确定使用大隐动脉(SA)和大隐静脉(GSV)作为受体血管,结合股前外侧(ALT)皮瓣治疗下肢截肢后皮肤缺陷的可行性。方法 从2015年6月到2017年6月,我们的研究包括12名患者(平均年龄33.5岁;年龄范围14-56岁;男性9岁;女性3岁),他们有较大的皮肤缺陷和近端下肢骨暴露症状。患者接受了紧急治疗和多次清创结合真空密封引流治疗,然后使用SA和GSV作为受体血管进行游离皮瓣手术,并用ALT覆盖伤口。后果 接受游离皮瓣手术的12名患者全部存活,但有两名患者出现远端皮瓣坏死,但通过保守措施挽救了远端皮瓣坏死。所有患者在3个月和6个月的随访中均对术后结果感到满意。结论 SA和GSV可作为受体血管,与ALT联合治疗下肢截肢后的皮肤缺陷。
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Using the Saphenous Artery and Great Saphenous Vein Combined with Anterolateral Thigh Flap to Treat Skin Defects after Amputation
Abstract Background Aim of this study was to determine the feasibility of using the saphenous artery (SA) and great saphenous vein (GSV) as recipient vessels, combined with anterolateral thigh (ALT) flap, in the treatment of skin defects after lower limb amputation. Methods From June 2015 to June 2017, 12 patients (average age, 33.5 years; range, 14–56 years; males, 9; female, 3) with large skin defects and symptoms of bone exposure in the proximal lower extremity were included in our study. The patients underwent emergency treatment and multiple debridement combined with vacuum sealing drainage therapy, followed by free flap surgery using the SA and GSV as recipient vessels, and ALT to cover the wound. Results All 12 patients who underwent free flap surgery survived, but two patients had distal flap necrosis, which, however, was salvaged with conservative measures. All patients were satisfied with the postoperative outcome at the 3 and 6-month follow-up. Conclusion The SA and GSV can be used as recipient vessels, combined with ALT, to treat skin defects after lower limb amputation.
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审稿时长
14 weeks
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