胫前动脉皮瓣逆行转移修复前足皮肤缺损  

Reverse anterior tibial artery flap for the repair of foot skin defect

作　　者：胡勇[1] 王增涛[1] 朱小雷[1] 孙文海[1] 刘志波[1] 朱磊[1] 许庆家[1] 

机构地区：[1]山东省立医院手足外科,济南250021

出　　处：《中国微创外科杂志》2007年第7期636-637,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的 探讨胫前动脉皮瓣逆行转移修复前足皮肤缺损的可行性。方法 以胫前动脉皮支穿出点为中心的逆行皮瓣修复前足皮肤缺损,胫前供区直接缝合或用腹股沟全厚皮打包植皮。结果 7例胫前动脉皮瓣及植皮全部成活。6例随访2～24个月,平均16个月,皮瓣无明显臃肿,色泽良好,外形满意。结论 胫前动脉皮瓣逆行转移修复前足缺损可行,取材方便、操作安全。Objective To investigate the feasibility of clinical use of reverse anterior tibial artery flap for the repair of foot skin defect. Methods With the perforating branch of the anterior tibial artery as turning point, a reverse flap was utilized to repair the foot skin defect. The donor site was directly sutured or covered by full - thickness skin grafting. Results The flap and skin graft survived in all the 7 patients. Follow-up observations for 2 - 24 months （mean, 16 months） in 6 patients showed normal color, texture, and appearance of flaps. Conclusions The reverse anterior tibial artery flap can be used for the construction of foot skin defect, with advantages of simple performance and good safety.

关 键 词：胫前动脉 皮瓣 足 皮肤缺损 

分 类 号：R658.3[医药卫生—外科学]