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目的:探讨多种类型混合型供血的双叶股前外侧穿支皮瓣修复创面的临床效果。方法:自2015年8月至2019年4月，我们采用双叶股前外侧穿支皮瓣修复术，在创面治疗的基础上，修复8例外伤后肢体存留创面患者。术前常规采用高频彩超行大腿外侧区穿支定位。术中因双叶皮瓣穿支分布不均衡，采用三种类型供血方式切取、组合双叶皮瓣，其中5例为穿支共干+内增压型、2例为穿支共干+内增压+筋膜型、1例为穿支共干+筋膜型。结果:术后8例皮瓣均顺利存活，无1例发生血管危象。供区均Ⅰ期顺利愈合。术后随访时间为6～33个月，平均16个月，皮瓣质地良好、弹性可、颜色与受区相近，边无明显瘢痕挛缩，皮瓣均恢复保护性感觉，随访期内未出现破溃或溃疡。1例患者为瘢痕体质，虎口瘢痕轻度增生，虎口略小。结论:采用多种类型混合型供血的双叶股前外侧穿支皮瓣修复创面，可以根据术中的穿支分布情况做不同类型的供血组合，是双叶皮瓣穿支不均衡或变异时的必要补充措施，可以获得满意的临床效果。“,”Objective:To investigate the clinical efficacy of bilobed anterolateral thigh perforator flaps with multiple types of mixed blood supply for the repair of wounds.Methods:From August 2015 to April 2019, 8 cases of traumatic limb wounds were repaired by bilobed anterolateral thigh perforator flaps on the basis of wound treatment. Preoperative high frequency color Doppler ultrasound was used to locate the perforator in the lateral thigh. Because of the uneven distribution of perforators in the bilobed flap, three types of blood supply methods were used to cut and combine the bilobed flaps. Among them, 5 cases were common trunk+ turbo charging type, 2 cases were common trunk+ turbo charging+ fascia type, and 1 case was common trunk+ fascia type.Results:All the flaps survived completely without any vascular crisis. All donor sites achieved primary healing. The follow-up time was 6 to 33 months with an average of 16 months. The skin flaps had good texture, good elasticity, similar color to the recipient area, and no obvious scar contracture occurred on the edge. The protective sensation of the flaps was restored. No ulceration occurred during the follow-up period. One patient had scar constitution with the mild hyperplasia of scar at the first web, and the first web was slightly smaller.Conclusion:Different blood supply combinations can be selected according to the distribution of perforating branches during the operation that use the bilobed anterolateral thigh perforator flaps with multiple types of mixed blood supply to repair the wounds. It is a necessary supplementary measure when the perforators of bilobed flaps are unbalanced or variant, and satisfactory clinical efficacy can be obtained.