腓肠内侧动脉为蒂的肌皮瓣转移修复胫前软组织缺损  

Medial Sural Artery Perforator Pedicled Flap to Cover Fissue Soft Defects on the Pretibial Region(A report of eight cases)

作　　者：张功林[1] 章鸣[1] 张金福[2] 郭翱[1] 王干生[2] 凌爱军[2] 彭俊洋[2] 

机构地区：[1]温岭市骨伤科医院,浙江温岭317500 [2]江苏省大丰市同仁骨科医院

出　　处：《中国伤残医学》2007年第1期21-23,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:总结应用腓肠内侧动脉穿支皮瓣修复胫前软组织缺损的临床应用效果。方法:修复胫前区软组织缺损8例,其中,上1/3软组织缺损5例,胫骨中1/3缺损3例,供区均选用同侧小腿。皮瓣切取大小4cm×5cm^5.5cm×8cm。结果:1例术后发生表浅感染,经更换敷料逐渐愈合,皮瓣全部成活,所有病人随访10个月~2.5年(平均1年8个月),供共除植皮外仅有一线性疤痕,没有发现明显的供区功能障碍。受区的外形较好,取得了较满意的效果。结论:该皮瓣以腓肠内侧动脉的肌皮穿支为血供,具有血供丰富,血管解剖恒定,血管蒂长,以及皮瓣较薄的优点,带蒂移植适宜修复胫前软组织缺损。Objective： To summarize clinical application of the medial sural artery perforator pedicled flap to cover soft tissue defects on the pretibial region. Medthods： Eight patients with soft tissue defects on the pretibial region underwent reconstruction with this method. The recipient area was located on the upper 1/3 of the tibia in 5 cases, 3 cases were located on the middle 1/3 of the tibia. The donor leg was ipsilateral in all cases. The flaps ranged from 4cm×5cm to 5.5cm×8cm. Results： One case sustained sustained Superficial infection postoperative and the gradual wound healed by daily wound dressings. All patients were followed-up from 10 months to 2.5 years（mean, 1.8y）. There was a linear scar of the donor area and no remarkable donor area morbidity. The cosmetic appearance on the recipient area was good. All the flaps had survived completely with satisfactory clinical results. Conclusion： The medial sural artery perforator flap is nourished by the musculocutaneous perforater of the medial sural artery. The flaps seem to has highly vascularize, a constant vascular anatomy and a long vascular pedicle. The flap is thin and suitable for reoair of soft tissue defect on the oretibial region.

关 键 词：穿支皮瓣 带蒂移植 缺损 

分 类 号：R685[医药卫生—骨科学]