应用胫前动脉骨膜穿支皮瓣修复小腿软组织缺损  

Using anterior tibial artery periosteal perforator flap repairs soft tissue defects of shank

作　　者：申立林[1] 蔺翠霞[1] 孙雪生[1] 朱涛[1] 李强[1] 李新霞[1] 

机构地区：[1]泰山医学院附属莱芜人民医院骨二科,山东省莱芜市271100

出　　处：《中华显微外科杂志》2013年第6期545-547,共3页Chinese Journal of Microsurgery

摘　　要：目的探讨应用胫前动脉骨膜穿支皮瓣修复小腿皮肤软组织缺损的治疗效果。方法采用同侧胫前动脉骨膜穿支皮瓣180。逆转修复11例小腿皮肤软组织缺损，供区采用中厚皮片植皮修复。结果移植的11例皮瓣全部成活，术后随访3个月～2年，骨折全部愈合，皮瓣质地良好，外观无臃肿、肤色正常，恢复了较好功能。结论胫前动脉骨膜穿支皮瓣修复小腿软组织缺损，具有操作简单、创伤小、不损伤知名血管、成活率高、皮瓣薄、不用二期修整等优点。Objective To explore the effect of repairing soft tissure defects of shank by anterior tibial artery periosteal perforator flap. Methods Eleven patients received the operation using anterior tibial artery periosteal perforator flap after reversing 180° repairs soft tissue defects of the same shank. The defect after the flap transfer was closed by skin-grafting. Results All the flaps of these 11 cases were successful. The fellow-up time was 3 months to 2 years. All fractures healed, and the appearance and the skin＇s color were satisfied. Conclusion The operation using anterior tibial artery periosteal perforator flap repairs soft tissue defects of shank has lots of merits：it is handled easily and causes small trauma and retains anterior tibial artery. It has a good success rate. The flap is thin that has a good appearance.

关 键 词：骨膜穿支皮瓣 胫前动脉 移植 小腿软组织缺损 

分 类 号：R658.3[医药卫生—外科学]