中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (04): 311-312.

• 论著 • 上一篇    下一篇

带血管蒂组织瓣移植在治疗四肢软组织肉瘤中的应用

何祖胜，锡林宝勒日，白靖平，江仁兵，周    洋，艾则孜·买买提艾力   

  1. 新疆医科大学附属肿瘤医院骨与软组织肿瘤科，新疆乌鲁木齐830011
  • 出版日期:2011-04-01 发布日期:2011-05-30

  • Online:2011-04-01 Published:2011-05-30

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摘要：

目的    探讨带血管蒂组织瓣移植术在四肢软组织肉瘤中的应用与体会。 方法    回顾性分析2005年7月至2009年7月新疆医科大学附属肿瘤医院行带血管蒂组织瓣移植治疗16例四肢软组织肉瘤的临床资料。结果    1例足底内侧动脉皮瓣部分坏死，经二次游离皮片植皮后愈合。1例腓肠肌内侧头肌瓣结合游离植皮术后，边缘出现坏死，经换药后痂下愈合。其余14例病人组织瓣均全部存活，16例病人在生存期内同部位未见肿瘤复发。结论    四肢软组织肉瘤能够通过局部扩大切除术及带血管蒂的皮瓣移植术达到局部的控制，避免生存期内接受截肢术。

关键词: 四肢, 软组织肉瘤, 带血管蒂组织瓣

Abstract:

Application of vascularized pedicle flap graft on the treatment of extremities soft tissue sarcoma        HE Zu-sheng, XI Lin-bao-le-ri, BAI Jing-ping, et al. Department of Orthopedics, the Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi830011, China
Corresponding author: BAI Jing-ping, E-mail:hezusheng306@126.com
Abstract    Objective    To study the application of vascularized pedicle flap on the treatment of extremities soft tissue sarcoma. Methods    The clinical data of 16 cases of extremities soft tissue sarcoma performed vascularized pedicle flap graft from July 2005 to July 2009 in Affiliated Tumor Hospital of Xinjiang Medical University were analyzed retrospectively. Results    One case of medial plantar artery skin flap necrosis healed after second time free skin graft dermatoplasty. One case of muscle flap margin necrosis healed after change of dressing. The other fourteen cases healed well. All the sixteen cases had no recurrence in their life span. Conclusion    Extremities soft tissue sarcoma can be healed with a margin large excision and vascularized pedicle flap dermatoplasty.

Key words: extremities, soft tissue sarcoma, vascularized pedicle flap