| 钱文康,金 谷,夏李明.游离股前外侧皮瓣在皮肤和软组织肿瘤切除术后重建中的应用[J].肿瘤学杂志,2017,23(11):945-949. |
| 游离股前外侧皮瓣在皮肤和软组织肿瘤切除术后重建中的应用 |
| Application of Free Anterolateral Thigh Flap in Reconstruction of Tissue Defect Post Resection of Skin and Soft Tissue Tumor |
| 投稿时间：2017-01-10 |
| DOI：10.11735/j.issn.1671-170X.2017.11.B002 |
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| 中文关键词: 股前外侧皮瓣 皮肤和软组织肿瘤 重建修复 |
| 英文关键词:anterolateral thigh flap skin and soft tissue tumor reconstruction |
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| 中文摘要: |
| 摘 要：［目的］评价运用游离股前外侧皮瓣治疗躯干及四肢皮肤和软组织肿瘤切除术后缺损的疗效。［方法］ 自2011年5月至2016年10月浙江省肿瘤医院骨与软组织肿瘤外科收治了27例运用游离股前外侧皮瓣修复皮肤和软组织肿瘤手术引起的组织缺损的病例。［结果］ 股前外侧皮瓣面积为5cm×6cm~15cm×21cm。77.8%（21/27）患者愈合佳，无明显坏死，与周围皮肤无明显高度差。18.5%（5/27）患者出现小范围边缘坏死（坏死面积10%~30%），予以积极换药后2月左右愈合。3.7%(1/27)患者出现静脉性血管危险，术后第一天予以急诊手术探查，术后出现皮瓣边缘小范围坏死（面积约15%），予以积极换药后2月左右愈合。在随访期内未见局部肿瘤复发及转移。［结论］ 股前外侧皮瓣移植在躯干及四肢软组织和皮肤肿瘤的术后重建中有着不可替代的作用及巨大的潜力。 |
| 英文摘要: |
| Abstract：［Objective］ To explore the curative of reconstruction of torso and limbs after tumor resection using free anterolateral thigh flap. ［Methods］ From May 2011 to Dec 2016，27 patients who suffered from soft tissue defect after tumor resection and were reconstructed by free anterlateral thigh flap were enrolled in the study. ［Results］ The area of flap comes from 5cm×6cm to 15cm×21cm. 77.8%（21/27）patients were healing well，while 18.5%（5/27） patients suffered from flap necrosis(the areas of necrotic flap was less than 30% of the total flap). In one case，we found venous crisis postoperation. After dealing with crisis positively，the flap still appeared necrosis. No recurrence and metastasis occurred during the follow-up period. ［Conclusion］ Using of anterolateral thigh flap in reconstruction post resection of soft tissue tumor is a good choice and has become more and more important. |
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