足背皮瓣的应用解剖及在口腔颌面部的临床应用  

Applied Anatomy of Dorsum Pedis Flap and its Clinical Application in Oromaxillo-facial Region

作　　者：黄相道[1] 王发生[1] 段毅[1] 

机构地区：[1]北华大学附属医院,吉林132011

出　　处：《医学研究杂志》2010年第4期109-110,123,共3页Journal of Medical Research

摘　　要：目的结合解剖观测及应用游离足背皮瓣修复口腔颌面部软组织缺损的体会,对足背皮瓣的解剖、制作、优缺点等进行论述。方法 22侧成人下肢标本,肉眼和手术显微镜下解剖并观测足背皮肤的血管、神经的走行和分布。2例口腔颌面部恶性肿瘤患者,制备9.5cm×7.5cm和8cm×6cm大小的游离足背皮瓣,供-受区血管、神经吻合,一期修复口腔颌面部恶性肿瘤术后软组织缺损。结果足背皮瓣主要由足背动脉和大、小隐静脉提供血液循环,腓浅神经为主要的感觉神经。临床应用2例,皮瓣均成活,随访2年,修复效果满意,肿瘤无复发。结论游离足背皮瓣血供可靠,可成为修复口腔颌面部软组织缺损的理想皮瓣。ObjectiveTo discuss the anatomy,manufacture, merit and demerit of dorsum pedis flap based on anatomic observation and comprehension using free dorsum pedis flap to repair the coloboma of oromaxillo-facial region soft tissue.MethodsThe courser and disposition of the skin blood vessel and nerve of dorsum of foot of 22 sides of adult cadaver lower limbs were dissected and observed under naked eye and operation microscope. 2 cases got troubled with oromaxillo-facial region malignant tumor,who were prepared 9.5 cm×75 cm and 8 cm×6 cm size of free dorsum pedis flap. The site of blood supply and recipient was anastomosed by blood vessel and nerve,and the coloboma of soft tissue was primary repaired after the operation of oromaxillo-facial region malignant tumor. ResultsBlood circulation of dorsum pedis flap was provided by dorsalis pedis artery,great saphenous vein and small saphenous vein,and fibular nerve was sensory nerve. During two years of follow-up visit,the two cases whose skin flaps were take were satisfactory with the reparation,and tumor recurrence did not take place. ConclusionThe blood supply of free dorsum pedis flap is reliable,and it can become ideal skin flap to repair the soft tissue coloboma of oromaxillo-facial region.

关 键 词：游离足背皮瓣 口腔颌面部 缺损 修复 

分 类 号：R782.2[医药卫生—口腔医学]