脚的前侧大腿作为一个多功能选择,用于重新覆盖广泛的下半身缺陷
A O Ajani1, T O Osisanya1, G O Onyejekwe1
1Department of Plastic Surgery, National Orthopaedic Hospital, Igbobi, Lagos, Nigeria.
Nigerian journal of clinical practice
|February 5, 2024
概括
踏脚前侧大腿 (ALT) 是有效的重建大的腹部和周围缺陷. 这项研究强调了它在尼日利亚患者的成功使用,证明了它在复杂病例中的可靠性.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 手术瘤学手术瘤学
背景情况:
- 重建大型腹部和周围缺陷对外科医生来说是一个重大挑战.
- 实现稳定的软组织覆盖和强大的关闭对于防止的复发和污染至关重要.
- 踏脚前侧大腿 (ALT) 是这些复杂的重建的多功能选择.
研究的目的:
- 评估脚踏式前侧大腿 (ALT) 在重建广泛的腹部和周围缺陷方面的有效性.
- 为了解决对黑人非洲人,特别是尼日利亚人ALT片使用的有限研究.
- 介绍与ALT门的机构经验,以挑战缺陷关闭.
主要方法:
- 在2019年1月至2022年7月期间进行了脚踏式前侧大腿 (ALT) 重建的患者记录的回顾性审查.
- 从患者文件中提取人口统计数据和重建细节.
- 对患有广泛腹部和周围缺陷的患者的片结局的分析.
主要成果:
- 该研究包括5名患者 (3名男性,2名女性),年龄在22-48岁之间.
- 重建的指示包括瘤切除 (4例) 和死性筋膜炎 (1例).
- 四个叶实现了完全生存,其中一个经历了边缘叶尖损失;没有观察到手术内解剖变异.
结论:
- 踏脚前侧大腿 (ALT) 是广泛的腹部和周围缺陷的高度有效的重建选择.
- 板在尼日利亚人口中显示出可靠性和良好结果,用于复杂的重建.
- 对于手术医生来说,ALT flap提供了一种有价值的解决方案,可以应对具有挑战性的软组织缺陷.
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