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- W3025621209 abstract "To improve the harvesting techniques of anterolateral thigh perforator flap, and to reduce the operation time.Between January 2008 and June 2015, 400 patients undergoing repair with anterolateral thigh perforator flap were included to analyze the technical factors, including 370 cases (92.5%) obtaining primary healing and 30 cases (7.5%) receiving re-exploration. Combined with the literature, a modified flap dissection was made: reverse tracing and sequential dissection of the descending branch of the lateral circumflex femoral artery. Between June 2015 and June 2016, the modified free anterolateral thigh perforator flap was used in 100 cases. Of 100 cases, 76 were male and 24 were female, aged from 11 to 71 years (mean, 35.6 years). The wound size ranged from 8 cm×5 cm to 23 cm×9 cm. The time between injury and surgery ranged from 5 to 31 days (mean, 14.3 days).The operation time of modified flap dissection was reduced to (30.1±19.3) minutes from (85.0±30.2) minutes (unmodified flap dissection). Postoperatively, 94 flaps survived uneventfully, and incision healed by first intention. Six flaps received re-exploration surgery because of vascular compromise; the flap survived after removal of thrombosis in 4 cases of vein thrombosis; the flap necrosed in 2 cases of vein and artery thrombosis, and skin grafting was performed. Ninety-four patients whose flaps survived were followed up 3-12 months (mean, 6.3 months); the flaps had good color and appearance, and second stage operation was performed to make the flap thinner in 21 cases.Improved harvesting technique of free anterolageral thigh perforator flap could decrease surgery time and difficulty in dissection.改进股前外侧穿支皮瓣的切取技巧，减少手术时间。.选取 2008 年 1 月—2015 年 6 月采用股前外侧穿支皮瓣修复的400例患者作为研究对象，分析其皮瓣成功愈合（370 例，92.5%）及术后二次探查（30 例，7.5%）的技术因素；同时结合文献已报道的皮瓣切取技术，提出一种改良的皮瓣切取技术，即以逆行追踪穿支蒂-顺行切取降支主干的方法切取皮瓣，并于 2015 年 6 月—2016 年 6 月应用于 100 例患者。其中男 76 例，女 24 例；年龄 11～71 岁，平均 35.6 岁。创面范围 8 cm×5 cm～23 cm×9 cm。受伤至手术时间 5～31 d，平均 14.3 d。.手术时间为（30.1±19.3）min，较未改进的切取方法手术时间（85.0±30.2）min 明显缩短。术后 94 例皮瓣成活并顺利愈合，创面及切口均 Ⅰ 期愈合。6 例发生血管危象，术后探查发现 4 例为静脉危象，术后取出血栓，皮瓣完全成活；2 例为动静脉危象，探查失败，皮瓣全部坏死后行二期创面植皮+换药后愈合。94 例皮瓣成活患者获随访，随访时间 3～12 个月，平均 6.3 个月。皮瓣生长良好，其中 21 例行二期修薄手术。.改进后的股前外侧穿支皮瓣切取方法可进一步减少手术时间，降低切取难度。." @default.
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- W3025621209 date "2017-01-15" @default.
- W3025621209 modified "2023-10-16" @default.
- W3025621209 title "[A technique analysis for dissection of anterolateral thigh perforator flap]." @default.
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- W3025621209 doi "https://doi.org/10.7507/1002-1892.201607112" @default.
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