跗内侧游离静脉皮瓣的解剖研究与临床价值  

Surgical anatomical study and clinical value of the arterialised venous flap of medial tarsal

作　　者：罗锦辉[1] 朱伟荣[1] 黄洛 杨福周[1] 罗毅[2] 

机构地区：[1]惠州市中心人民医院手足外科,广东惠州516001 [2]惠州市中心人民医院超声科,广东惠州516001

出　　处：《临床和实验医学杂志》2014年第14期1161-1163,共3页Journal of Clinical and Experimental Medicine

基　　金：广东省医学科研基金立项课题(a2012750)

摘　　要：目的了解跗内侧游离静脉皮瓣的解剖结构,将研究结果应用于临床工作。方法取10例成人足部截肢的跗内侧区皮肤进行病理切片,了解此处皮肤静脉血管分布。临床应用26例,以跗内侧区皮肤的深层静脉血管为蒂,大致取出4 cm×6 cm的跗内侧静脉皮瓣,修复指部缺损。记录26例皮瓣成活情况。结果跗内侧区皮肤较恒定地拥有两层的静脉分布,且血管密度丰富。26例运用跗内侧静脉皮瓣的临床手部修复实验,皮瓣24例存活,Ⅰ期愈合23例,Ⅱ期愈合1例,皮瓣坏死2例,存活皮瓣远期效果良好。结论跗内侧游离静脉皮瓣适宜作吻合血管游离移植修复手指皮肤缺损。Objective To know the anatomy of the arterialized venous flap of medial tarsal,and the research result was applied in future clinical practice. Methods Pathological sections were performed on distribution of the medial tasal skin from 10 cases of adult foot amputation and the vascularity was observed. The finger defect was reconstruction by the arterialized venous flap of medial tarsal,which was cut in about 4 cm ×6 cm size in 26 clinical application cases. Results The vein distribution of the skin in the medial tarsal region had constant regions that contained two layers veins. The distribution was very dense. 24 of 26 patients received the arterialized venous flap of medial tarsal were survived by repairing the finger skin defect. 1 flap suffered epidermolysis but recovered without full thickness loss; 2 flaps were failed. Conclusion The arterialized venous flap of medial tarsal is reliable efficacy,and it can be widely applied in the clinical.

关 键 词：跗内侧 动脉化静脉皮瓣 解剖结构 修复缺损 

分 类 号：R322.99[医药卫生—人体解剖和组织胚胎学] R622.1[医药卫生—基础医学]