胫后动脉穿支蒂混合供血皮瓣修复儿童小腿创面  

Use of posterior tibial artery perforator pedicled flap in repairing leg wounds in children

作　　者：吴必华[1] 魏在荣[1] 唐修俊[1] 孙广峰[1] 金文虎[1] 

机构地区：[1]遵义医学院附属医院烧伤整形外科,563099

出　　处：《中华小儿外科杂志》2013年第5期349-352,共4页Chinese Journal of Pediatric Surgery

基　　金：基金项目：贵州省科技厅社发基金（编号：黔科合SY字[2010]3060）

摘　　要：目的探讨胫后动脉穿支蒂混合供血皮瓣转移修复儿童小腿创面可行性。方法2009年3月至2011年5月，对5例儿童小腿创面采用胫后动脉穿支蒂混合供血皮瓣转移修复，年龄4岁7个月至13岁。创面范围为4cm×4cm～7em×6cm。皮瓣范围5em×5cm～8cm×7CITI，蒂长5～7em。3例皮瓣穿支位于小腿中下1／3附近，2例皮瓣穿支位于小腿中上1／3附近。2例胫骨骨折。供区植皮修复。结果5例皮瓣完全成活，无一例出现血管危象或皮瓣坏死。伤口一期愈合、供区植皮完全成活。术后患儿均获随访，随访时间24～36个月，皮瓣色泽、质地、外形良好。12个月后随访骨折痊愈。患儿生长发育及下肢功能未见异常。结论儿童可切取胫后动脉穿支蒂混合供血皮瓣，该皮瓣可修复小腿创面，手术简单，血供可靠。Objective To investigate the feasibility of repairing wound with the postior tibial artery perforator pedicled flap. Methods From March 2009 to May 2009, 5 lower leg wounds in children （aged 4years 7months~ 13 years） were repaired with posterior tibial artery perforator pedicled flaps. The areas of wound ranged from 4 cmx 4 cm to 7 cm ~ 6 cm. The areas of the flap were 5 cm ~ 5 cm to 8 cm ~ 7 cm, the length of pedicle was 5 to 7 cm. Tibia[ fractures were seen in 2 patients. Donor sites were repaired with skin grafting. Results All the flaps and the skin grafts primarily survived. Follow-up after surgery ranged from 24 months to 36 months. The color, texture and appearance of the flaps were good. All tibia fractures primarily healed after 12 months. The growth and development of children was normal, and had no dysfunction. Conclusions Posterior tibial artery perforator pedicled flap could repair leg wounds with good outcome.

关 键 词：外科皮瓣 儿童 修复外科手术 

分 类 号：R658.3[医药卫生—外科学]