带血管蒂组织瓣转位修复小腿组织缺损  

Repairing Tissue Defects of Leg by Transposing Vasucularized Tissue Flaps

作　　者：卢光辉 余国荣[2] 许典雄 刘合振 

机构地区：[1]湖北省大冶市人民医院骨科,大冶435100 [2]武汉大学中南医院显微骨科,武汉430071

出　　处：《武汉大学学报（医学版）》2004年第4期477-478,484,共3页Medical Journal of Wuhan University

摘　　要：目的 :回顾性研究了带血管蒂组织瓣转位修复小腿组织缺损的治疗效果。方法 :应用腓肠肌皮瓣、肌瓣、比目鱼肌瓣、肌骨膜瓣、跗外侧血管蒂骰骨趾短伸肌复合瓣、胫前或胫后血管节段性骨膜支骨膜瓣转位修复小腿组织缺损 37例。结果 :组织瓣全部存活 ,骨愈合时间 4～ 6个月 ,无炎症复发、窦道及溃疡。结论 :带血管蒂组织瓣转位修复小腿组织缺损 ,疗程短、疗效好 ,手术简便易行 ,不仅可修复软组织缺损 ,而且同时一期修复骨缺损。Objective: To review results of treating tissue defects of leg by transposing vascularized flaps . Methods: 37 cases of tissue defects of leg were repaired by transposing vascularized tissue flaps. The pedicle flaps included musculocutaneous flap and muscle flap of gastrocnemius,muscle flap and muscle-periosteum flap of soleus,complex flap of cubiod and muscle of extensor digitorum brevis pedicled with lateral tarsel artery,periosteal flap pedicled with the segmental periosteal branches of anterior or posterior tebial artery. Results: All the tissueflaps were survived without reoccurrence of inflammation,sinus and ulcer. Bone healing occurred 4～6 months postoperatively. Conclusion: Repairing tissue defects by transposing vascularized tissue flaps is easy and convenient to perform with short duration of treatment and good result. Soft tissue and bone defects can be repaired at the same time by this way.

关 键 词：小腿 组织缺损 组织瓣 转位 

分 类 号：R622.2[医药卫生—整形外科]