腓动脉穿支接力皮瓣修复胫前中下段及供瓣区皮肤软组织缺损  

Relaying peroneal artery perforator flap for coverage of anterior middle and lower tibia and donorsite defects

作　　者：王耀军[1] 任忠亮 薛佳杰 郭雷[1] 高登文 郝青晔 高富成 杨洁[1] Wang Yaojun;Ren Zhongliang;Xue Jiajie;Guo Lei;Gao Dengwen;Hao Qingye;Gao Fucheng;Yang Jie(Department of Burn &Plastic and Hand &Foot Surgery,Yulin No.2Hospital,Yulin 719000,China)

机构地区：[1]榆林市第二医院烧伤整形手足外科,719000

出　　处：《中华整形外科杂志》2018年第12期1005-1009,共5页Chinese Journal of Plastic Surgery

基　　金：国家自然科学基金青年项目(81401593).

摘　　要：目的探讨腓动脉穿支接力皮瓣修复胫前中下段及供瓣区皮肤软组织缺损的治疗效果。方法从2014年7月至2017年6月,收治小腿胫前皮肤软组织缺损患者12例,采用腓动脉穿支接力皮瓣修复创面及供瓣区,第2供区一期直接缝合。胫前中下段软组织缺损创面范围为5cm×3cm^13cm×9cm,切取修复创面皮瓣及修复第1供区的穿支皮瓣面积分别为6cm×4cm^14cm×10cm、5cm×4cm^10cm×6cm。通过观察受区及供区的外形,评价临床效果。结果所有皮瓣均一期顺利成活。患者均获8~36个月随访,平均20个月,皮瓣外观平整、质地良好、色泽接近正常;第2供区仅残留线状瘢痕,不影响肢体整体外观。结论腓动脉穿支接力皮瓣不牺牲主干血管且血供可靠,手术部位均位于小腿外侧,在修复胫前中下段软组织缺损的同时可以改善第1供区的外观。Objective To study the clinical effect of relaying peroneal artery perforator flap on anterior middle and lower tibia and donor-site defects repair.Methods From July 2014 to June 2017, 12 patients were included. The anterior middle-lower tibia soft tissue defects and the primary donor-sites were repaired by relaying peroneal artery perforator flaps, and the second donor-sites were directly closed. The size of anterior middle-lower tibia defects ranged from 5 cm × 3 cm to 13 cm × 9 cm. The flaps repairing the wounds ranged from 6 cm × 4 cm to 14 cm × 10 cm in size. The flaps restoring the first donor-site ranged from 5 cm×4 cm to 10 cm×6 cm in size. The clinical effect was evaluated by observing the appearance of the recipient sites and the donor sites.Results All the flaps survived uneventfully. All patients were followed up for 8-36 months (average 20 months). The flaps remained with good texture and color. The second donor-sites only left linear scar, which do not affect the overall appearance of limb.Conclusions The blood supply of relaying peroneal artery perforator is reliable without any disturbing of the main artery. The flap located on the lateral of the calf. The relaying peroneal artery perforator flap can repair the soft tissue defect at the anterior middle-lower tibia and improve the appearance of the first donor-site.

关 键 词：腓动脉穿支 穿支皮瓣 软组织缺损 创面修复 小腿 

分 类 号：R658.3[医药卫生—外科学]