应用胫后动脉皮支皮瓣修复小腿中下段软组织缺损的临床分析  

Clinical analysis of applying cutaneous branch of the posterior tibial artery flap to repair lower leg soft tissue defects

作　　者：王令权 何耘[1] 

机构地区：[1]德阳市旌阳区中医院骨科,四川德阳618000

出　　处：《川北医学院学报》2014年第4期379-381,共3页Journal of North Sichuan Medical College

摘　　要：目的：探讨应用胫后动脉皮支皮瓣转移修复小腿中下段软组织缺损的临床疗效。方法：2006年3月至2013年11月,我院收治17例各种原因所致的小腿中下段软组织缺损应用胫后动脉皮支皮瓣转移修复,皮瓣切取最大面积15 cm×11 cm。结果：14例皮瓣全部成活,3例皮瓣远端部分坏死,经换药清创缝合后创面愈合。随访3~18个月,皮瓣外观、质地、色泽均良好,仅皮肤感觉部分缺失。结论：胫后动脉皮支皮瓣血管解剖恒定,此术式不损伤小腿主干血管,手术操作简单实用,是一种较理想的修复小腿中下段软组织缺损的手术方法。Objective：To explore the clinical efficacy of applying cutaneous branch of the posterior tibial artery flap to repair lower leg soft tissue defects. Methods：From March 2006 to November 2013,17 cases of lower leg soft tissue defects,caused by various rea-sons,were treated with cutaneous branch of the posterior tibial artery flap repair. The maximum area of flap reached 15 cm × 11 cm. Re-sults：14 cases flaps survived,and 3 cases of distal flap necrosis healed after dressing debridement. Follow-up lasted 3 to 18months,and the appearance,texure and colour of flap were nice,only the skin feeling partially lost. Conclusion：Cutaneous branch of the posterior tibial artery flap has constant vascular anatomy and this surgery had no damage to the calf vascular trunk. The surgical operation,simple and practical,is an ideal method of repairing lower leg soft tissue defects.

关 键 词：胫后动脉 软组织缺损 皮支皮瓣 修复 显微外科 

分 类 号：R68[医药卫生—骨科学]