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目的探讨股前外侧皮瓣移植治疗小儿复杂创伤性大面积软组织缺损的可行性和临床疗效观察。方法应用股前外侧皮瓣游离移植治疗小儿下肢大面积软组织缺损11例,包括小腿1例、踝后伴跟腱缺损3例、足部7例。结果 10例皮瓣顺利成活,1例出现静脉危象,探查处理后成活;供区植皮全部成活。术后随访3~24个月,皮瓣质地柔软,外形良好,4例吻合皮神经后恢复保护性感觉。结论股前外侧皮瓣移植治疗小儿下肢大面积软组织缺损,可明显提高保肢成功率,缩短治疗周期,最大限度恢复患肢功能,临床疗效满意。
Objective To investigate the feasibility and clinical effect of anterolateral femoral skin flap transplantation in the treatment of complex traumatic large soft tissue defects in children. Methods 11 cases of large area soft tissue defects of lower extremities were treated with free transplantation of anterolateral femoral skin flap, including 1 case of lower leg, 3 cases of ankle defect with Achilles tendon and 7 cases of foot. Results 10 cases of flaps survived successfully, 1 case of venous crisis, survival after probing; all skin graft for survival. The patients were followed up for 3 to 24 months. The flaps were soft and well-shaped. The sensory recovery was restored in 4 patients with anastomotic nerve involvement. Conclusions Anterolateral anterolateral skin flap transplantation for the treatment of large-scale soft tissue defects of the lower extremities in children can significantly improve the success rate of limb salvage, shorten the treatment cycle, and maximize the recovery of limb function. The clinical curative effect is satisfactory.