躅趾胫侧趾底动脉逆行岛状皮瓣的临床应用  

Clinical application of reverse island flap based on tibial plantar digital artery

作　　者：王天桢 辛献珍 朱天杰 杨占彪 

机构地区：[1]常州市永红医院手外科,213000

出　　处：《中华整形外科杂志》2009年第4期260-261,共2页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨采用躅趾胫侧趾底动脉逆行岛状皮瓣修复躅趾远端软组织缺损的临床效果。方法2003至2008年，根据躅趾远端软组织缺损的情况，对18例患者采用躅趾胫侧趾底动脉逆行岛状皮瓣修复。通过随访观察躅趾外形、功能恢复情况，了解临床疗效，总结优缺点。结果术后随访6—12个月，18例皮瓣全部成活，修复后躅趾远端外观尚好，趾端无明显触痛，功能恢复满意。结论四趾胫侧趾底动脉逆行岛状皮瓣血管走行相对较为恒定，皮瓣供、受区距离较近，转移方便，手术操作容易，是修复躅趾远端软组织缺损的较好方法。Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibial plantar digital artery. Results The patients were followed up for 6 -12 months（mean 9.5 months）. All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibial plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.

关 键 词：躅趾/损伤 逆行岛状皮瓣 临床应用 患者 

分 类 号：R658.2[医药卫生—外科学]