目的 基于Web of Science数据库分析股前外侧皮瓣的研究发展趋势与热点。 方法 采用主题检索,数据范围为web of science核心集,检索时间范围为所有时间。利用web of Science 自带工具进行文献一般计量分析,利用CiteSpace 6.3R3等工具通过关键词共现、聚类分析等方法挖掘皮瓣研究热点和发展趋势。 结果 检索到3 009篇相关文献数据,其中纳入一般统计分析的文献2869篇,纳入知识图谱分析的文献2 652篇。股前外侧皮瓣发文量呈逐年递增趋势,发文量高的国家(地区)为中国、美国。关键词共现分析显示,“neck、complications、free flap、donor site morbidity ”4个关键词的关联度强,且频次高。关键词聚类分析显示,研究内容主要集中于:“perforator flap, free flap, one stage reconstruction, mandibular reconstruction, pharyngoesophageal reconstruction, neck, lower extremity, hemifacial atrophy”等8类。突现词分析提示,“neck defects, soft tissue flap, anatomy”研究热度最高;“lower extremity, radiotherapy, soft tissue defects, vascular anatomy”是近几年的研究热点。 结论 国人对股前外侧皮瓣研究贡献巨大,研究重点集中于颈部组织损伤修复,研究内容主要集中于股前外侧穿支皮瓣,近几年的研究热点主要集中在下肢重建、放射治疗、软组织缺损修复、血管解剖等方面。
Abstract
Objective To analyze the research trends and hotspots of anterolateral thigh flap based on Web of Science database. Methods A thematic search was performed in the Web of Science Core Collection across all time periods. Bibliometric analysis was conducted using Web of Science tools, and research hotspots and trends were analyzed via keyword co-occurrence and cluster analysis using CiteSpace 6.3.R3. Results A total of 3,009 relevant articles were retrieved, with 2,869 included in general statistical analysis and 2,652 in knowledge graph analysis. Publications on the anterolateral thigh flap have increased yearly, with China and the United States leading in publication volume. Keywords co-occurrence analysis indicates that “neck," "complications," "free flap," and "donor site morbidity" were strongly associated and frequently mentioned. Cluster analysis identified eight main research focuses: "perforator flap, free flap, one-stage reconstruction, mandibular reconstruction, pharyngoesophageal reconstruction, neck, lower extremity, hemifacial atrophy." Burst term analysis highlighted "neck defects, soft tissue flap, and anatomy" as the most active research areas, with "lower extremity, radiotherapy, soft tissue defects, and vascular anatomy" emerging as recent focuses. Conclusion Chinese researchers have made significant contributions to the study of the anterolateral thigh flap. The research focus has primarily been on neck tissue injury repair, while the research content has centered on the application of anterolateral perforator flaps. Recent research hotspots have included lower extremity reconstruction, radiotherapy, soft tissue defect repair, and vascular anatomy.
关键词
股前外侧皮瓣;  /
文献计量;  /
  /
组织缺损重建
Key words
Anterolateral thigh flap;  /
  /
Bibliometrics;  /
  /
Tissue defect reconstruction
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 徐达传, 钟世镇, 刘牧之, 等. 股前外侧部皮瓣的解剖学—一个新的游离皮瓣供区[J]. 临床应用解剖学杂志, 1984, 2(3): 158-160. DOI:10.13418/j.issn.1001-165x.1989.03.012.
[2] Song YG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery[J]. Br J Plast Surg, 1984, 37(2): 149-159. DOI:10.1016/0007-1226(84)90002-X.
[3] 罗力生, 高建华, 陈林峰, 等. 股前外側皮瓣及其游离移植的应用[J]. 第一军医大学学报, 1984, 4(1, 2): 1-4.
[4] 张春,徐达传. 股前外侧(肌)皮瓣的解剖与修复足部严重缺损的应用[J]. 中国临床解剖学杂志, 1989, 7(2): 108-112. DOI: 10.13418/j.issn.1001-165x.1989.02.025.
[5] Press BHJ, Colen SR, Boyd A, et al. Reconstruction of a large chest wall defect with a musculocutaneous free flap using anterolateral thigh musculature[J]. Ann Plast Surg, 1988, 20(3): 238-241. DOI:10.1097/00000637-198803000-00008.
[6] 曹盛俊. 股前外侧皮瓣的临床应用[J]. 修复重建外科杂志, 1988, 2(2): 119.
[7] 罗盛康, WR, P.Heieili, D.V.Egloff. 欧洲人股前外侧皮瓣应用解剖和临床应用[J]. 中国临床解剖学杂志, 2000, 18(4) : 379-382. DOI:10.13418/j.issn.1001-165x.2000.04.038.
[8] Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? an experience with 672 anterolateral thigh flaps[J]. Plast Reconstr Surg, 2002, 109(7): 2219-2226. DOI:10.1097/00006534-200206000-0000.
[9] 林永斌, 汪仁焕. 逆行股前外侧皮瓣修复上胫前创面[J]. 浙江创伤外科, 2009, 14(4): 364-365. DOI:10.3969/j.issn.1009-7147.2009.04.031.
[10]唐举玉, 李康华. 股前外侧皮瓣的临床研究进展[J]. 中国临床解剖学杂志, 2009, 27(1):111-113. DOI:10.13418/j.issn.1001-165x.2009.01.030.
[11]Dayan JH, Lin CH, Wei FC. The versatility of the anterolateral thigh flap in lower extremity reconstruction[J]. Handchir Mikrochir Plast Chir, 2009, 41(4): 193-202. DOI:10.1055/s-0029-1220916.
[12] Luo SK, Raffoul W, Luo JH, et al. Anterolateral thigh flap: a review of 168 cases[J]. Microsurgery, 1999, 19(5): 232-238. DOI:10.1002/(SICI)1098-2752(1999)19:5<232::AID-MICR5>3.0.CO;2-S.
[13] 陈悦, 陈超美, 刘则渊, 等. Citespace知识图谱的方法论功能[J]. 科学学研究, 2015, 33(2): 242-253. DOI:10.16192/j.cnki.1003-2053. 2015. 02.009.
[14]Chen C. Predictive effects of structural variation on citation counts[J]. J Am Soc Inf Sci Technol, 2012, 63(3): 431-449. DOI:10.1002/asi.21694.
[15]Shieh SJ, Chiu HY, Yu JC, et al. Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation[J]. Plast Reconstr Surg, 2000, 105(7): 2349-2357. DOI:10.1097/00006534-200006000-00006.
[16]Yu PR. Characteristics of the anterolateral thigh flap in a western population and its application in head and neck reconstruction[J]. Head Neck, 2004, 26(9): 759-769. DOI:10.1002/hed.20050.
[17]Jones NF, Jarrahy R, Song JI, et al. Postoperative medical complications - not microsurgical complications - negatively influence the morbidity, mortality, and true costs after microsurgical reconstruction for head and neck cancer[J]. Plast Reconstr Surg, 2007, 119(7): 2053-2060. DOI:10.1055/s-2006-958658.
[18]Papanikolas MJ, Clark JR. Trends in free flap reconstruction of the head and neck: a single surgeon series of 1027 free tissue transfers[J]. Anz J Surg, 2024, 94(1-2): 140-147. DOI:10.1111/ans.18798.
[19]Kimata Y, Uchiyama K, Ebihara S, et al. Anterolateral thigh flap donor-site complications and morbidity[J]. Plast Reconstr Surg, 2000,106(3): 584-589. DOI:10.1097/00006534-200009030-00009.
[20] Agostini T, Lazzeri D, Spinelli G. Anterolateral thigh flap thinning: techniques and complications[J]. Ann Plast Surg, 2014, 72(2): 246-252. DOI:10.1097/SAP.0b013e31825b3d3a.
[21]Veerman H, de Rooij FPW, Al-Tamimi M, et al. Functional outcomes and urological complications after genital gender affirming surgery with urethral lengthening in transgender men[J]. J Urol, 2020, 204(1): 104-109. DOI:10.1097/JU.0000000000000795.
[22] Breidung D, Delavari S, Grimme S, et al. Postoperative complications of flap procedures in chest wall defect reconstruction: a two-center experience[J]. Medicina(kaunas), 2024, 60(5):834. DOI:10.3390/medicina60050834
[23] 高建华, 罗力生, 陈林峰, 等. 股前外侧皮瓣主要皮血管的体表定位[J]. 临床应用解剖学杂志, 1984, 2(3): 161-163. DOI:10.13418/j.issn.1001-165x.1984.03.013.
[24] 罗力生, 高建华, 陈林峰, 等. 股前外侧皮瓣的解剖基础与临床应用[J]. 中华整形烧伤外科杂志, 1985,1 (2): 50-52, 78-79. DOI:10.3760/cma.j.issn.1000-7806.1985.02.119.
[25]Xu DC, Zhong SZ, Kong JM, et al. Applied anatomy of the anterolateral femoral flap[J]. Plast Reconstr Surg, 1988, 82(2): 305-310. DOI: 10.1097/00006534-198808000-00016.
[26]Begue T, Masquelet AC, Nordin JY. Anatomical basis of the anterolateral thigh flap[J]. Surg Radiol Anat, 1990, 12(4): 311-313. DOI: 10.1007/BF01623713.
[27]罗力生,张立宪, 王志学. 股前外侧皮瓣血管的分型及临床意义[J]. 修复重建外科杂志, 1990, 4(4): 215-216.
[28] 张春,占䔒蕾,陈土根,等. 股前外侧皮瓣血管的临床分型及意义[J]. 中国临床解剖学杂志, 1991, 9(2): 109-111, 128. DOI:10.13418/j.issn.1001-165x.1991.02.024.
[29]徐达传,阮默, 张春,等. 股前外侧部皮瓣的进一步解剖学研究——高位皮动脉与皮瓣血供的分型[J]. 中国临床解剖学杂志, 2002, 20(6): 410-413. DOI:10.13418/j.issn.1001-165x.2002.06.004.
[30]Rajacic N, Gang RK, Krishnan J, et al. Thin anterolateral thigh free flap[J]. Ann Plast Surg, 2002, 48(3): 252-257. DOI:10.1097/00000637-200203000-00004.
[31]Huang CH, Chen HC, Huang YL, et al. Comparison of the radial forearm flap and the thinned anterolateral thigh cutaneous flap for reconstruction of tongue defects: an evaluation of donor-site mmorbidity[J]. Plast Reconstr Surg, 2004, 114(7): 1704-1710. DOI:10.1097/01.PRS.0000142476.36975.07.
[32]Yu PR. Reinnervated anterolateral thigh flap for tongue reconstruction[J]. Head Neck, 2004, 26(12): 1038-1044. DOI:10.1002/hed.20106.
[33]Zhang Q, Qiao Q, Chen G. Clinical application of the anterolateral thigh flap in 112 patients[J]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 2006, 20(5): 540-543. DOI:10.1631/jzus.2006.B0099.
[34]Li WL, Xu ZF, Liu FY, et al. Vascularized free forearm flap versus free anterolateral thigh perforator flaps for reconstruction in patients with head and neck cancer: assessment of quality of life[J]. Head Neck, 2013, 35(12): 1808-1813. DOI:10.1002/hed.23254.
[35]Liu WW, Li H, Guo ZM, et al. Reconstruction of soft-tissue defects of the head and neck: radial forearm flap or anterolateral thigh flap [J] ? Eur Arch OtoRhinoLaryngol, 2011, 268(12): 1809-1812. DOI:10.1007/s00405-011-1548-4.
[36]Zhang Y, Pan XY, Yang H, et al. Computed tomography angiography for the chimeric anterolateral thigh flap in the reconstruction of the upper extremity[J]. J Reconstr Microsurg, 2017, 33(3): 211-217. DOI:10.1055/s-0036-1597587.
[37]Lei PF, Du W, Liu H, et al. Free vascularized iliac bone flap based on deep circumflex iliac vessels graft for the treatment of osteonecrosis of femoral head[J]. J Orthop Surg Res, 2019,14(1). DOI:10.1186/s13018-019-1440-2.
[38]Zhao WQ, Li ZY, Wu LJ, et al. Medial sural artery perforator flap aided by ultrasonic perforator localization for reconstruction after oral carcinoma resection[J]. J Oral Maxillofac Surg, 2016, 74(5): 1063-1071. DOI:10.1016/j.joms.2015.11.011.
[39]Qing LM, Wu PF, Zhou ZB, et al. Customized reconstruction of complex three-dimensional defects in the extremities with individual design of vastus lateralis muscle-chimeric multi-lobed anterolateral thigh perforator flap[J]. J Plast Surg Hand Surg, 2019,53(5): 271-278. DOI:10.1080/2000656X.2019.1606004
[40] Zhou B, Liao JK, Zhu CD, et al. Full cheek defect reconstruction using ALTF versus RFF: Comparison of quality of life, clinical results, and donor site morbidity[J]. Oral Dis, 2020, 26(6): 1157-1164. DOI:10.1111/odi.13354.
[41]陈胜华, 徐达传, 周小兵, 等. 以旋股外侧动脉降支为蒂分叶股前外侧肌皮瓣设计的解剖学研究[J]. 中国临床解剖学杂志, 2010, 28(3):237-241. DOI:10.13418/j.issn.1001-165x.2010.03.002.
[42] 庞晓阳, 吴攀峰, 张兴, 等. 旋股外侧动脉降支单穿支分叶皮瓣的临床应用[J]. 中南大学学报(医学版), 2021, 46(09): 983-988. DOI:10.11817/j.issn.1672-7347.2021.200051.
[43] 刘会仁, 刘德群, 刘小坡, 等. 股前外侧分叶肌皮瓣的应用解剖与临床意义[J]. 中国临床解剖学杂志, 2008, 26(5):491-493. DOI:10.13418/j.issn.1001-165x.2008.05.004.
[44]Blondeel PN, Van Landuyt KH, Monstrey SJ, et al. The "Gent" consensus on perforator flap terminology: preliminary definitions[J]. Plast Reconstr Surg, 2003,112(5): 1378-1383; quiz 1383, 1516; discussion 1384-1377. DOI:10.1097/01.prs.0000081071.83805.b6.
[45]Celik N, Wei FC, Lin CH, et al. Technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases[J]. Plast Reconstr Surg, 2002,109(7): 2211-2216. DOI:10.1023/A:1025406108454.
[46]Geddes CR, Morris SF, Neligan PC. Perforator flaps: evolution, classification, and applications[J]. Ann Plast Surg, 2003, 50(1): 90-99. DOI:10.1097/01.SAP.0000032309.30122.55.
[47]Koshima I, Nanba Y, Tsutsui T, et al. Free perforator flap for the treatment of defects after resection of huge arteriovenous malformations in the head and neck regions[J]. Ann Plast Surg, 2003, 51(2): 194-199. DOI: 10.1097/01.SAP.0000044706.58478.73.
[48]Kludt N, Pu LLQ. The clinical application of free-style cutaneous perforator flaps[J]. Eur J Plast Surg, 2015, 38(1): 71-76. DOI: 10.1007/s00238-014-1039-0.
[49]Zhou JD, Zhang XF, Xu TL, et al. Super-thin anterolateral thigh flap for reconstruction of the medial plantar artery perforator flap donor site[J]. J Orthop Surg(Hong Kong), 2023,31(2): 10225536231181706. DOI:10.1177/10225536231181706.