带胫后动脉小腿内侧逆行岛状皮瓣修复足跟底部组织缺损  

ABSTRACTRETROGRADE ISLAND SKIN FLAP FROM MEDIAL SIDE OF LEG WITH POSTERIORTIBIAL ARTERY IN THE REPAIR OF TISSUES DEFECT OF THE SOLE OF FOOT

作　　者：平国兴 

机构地区：[1]广东省南海市平洲医院创伤外科

出　　处：《中国修复重建外科杂志》1995年第2期100-101,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：足跟部是人体主要持重部位，组织缺损后的修复要求较高。一但皮肤与皮下组织撕脱缺损，将使跟骨与跖筋膜外露。用带血供的组织瓣覆盖修夏创面是众多的学者所公认的。我科自１９８５年５月～１９９４年５月收治了２６例足跟底部大面积组织缺损的病人，在急诊清创术的同时，用同侧带胫后动脉的小腿内侧逆行岛状皮瓣一期修复创面。经过随访，疗效满意。其优点是：皮瓣供血丰富，可供使用的皮瓣面积大，厚度适中，弹性好并耐磨。血管位置恒定，易解剖，手术技术易掌握，手术一次完成，皮瓣成活率高等。issues defect of the sole of the foot.requires a high quality of repair, because the sole bearsthe body weight most. Once there is loss of soft tissiies and skin from the sole,the os calsis andthe plantar fascia will be exposed.The use of Vascularized tissue flaps to cover the beare area ofthe sole has been generally recognked. From May,1985 through May, 1994 , 26 cases of exten-sive tissue defects of the soles were treated. During the primary debridement, the wounds wererepaired primarily by using ret rograde island skin flap from the medial side of the leg with theposterior tibial artery. From the follw-up , the results were satisfactory. The advantages were:the skin flap had rich blood supply , large skin flap was available,the thick ness of the flap wasappropriate , and the elasticity or the weight bearing was good. Besides,the location of the arterywas constant, and the operative technique was easy to handle and could be done in one-stage withhigh surviml rate of the skin flap.

关 键 词：胫后动脉 小腿 逆行皮瓣 足跟底部 组织缺损 

分 类 号：R658.305[医药卫生—外科学]