腓浅动脉皮瓣修复足背皮肤软组织缺损的临床应用及其解剖研究  

作　　者：宋永焕[1] 林大木[1] 丁健[1] 杨景全[1] 王安远[1] 陈星隆[1] 

机构地区：[1]温州医科大学附属第二医院手外科,325027

出　　处：《浙江临床医学》2015年第10期1688-1689,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省温州市科技计划项目（Y20120056）

摘　　要：目的 通过分析腓浅动脉皮瓣解剖特点和分布规律,设计以腓浅动脉为蒂的逆行岛状皮瓣,临床修复足背皮肤软组织缺损.方法 利用新鲜尸体12具乳胶灌注标本对腓浅动脉血管走行、穿支及分布等解剖结构进行分析.根据解剖结果临床上采用腓浅动脉皮瓣修复足背软组织缺损病例12例,均为逆行带蒂皮瓣,皮瓣大小：4cm×5cm～8.5cm×15cm,旋转点设计在外踝上方5cm处.结果 解剖发现,腓浅动脉下行过程中发出不同数量的穿支,供应小腿前外侧上、中区域,并向下方走行与腓动脉终末穿支相吻合构成的血管链.12例皮瓣均成活,随访3～16个月,腓浅动脉皮瓣修复创面后皮肤弹性好、皮瓣薄、外形好.结论 腓浅动脉皮瓣穿支分布较多、主干口径长度适宜,皮瓣旋转弧长,可满足足背中远段皮肤缺损修复的需要,临床应用效果满意.Objective To exlplore the anatomical and distribution feature of the superficial peroneal artery and provide anatomic basis to design the retrograde superficial peroneal artery flap which will reconstruct the foot dorsum soft tissue defect. Method 12 fresh cadaver lower limbs underwent the red latex injecion were dissected to explore the course of the superficial peroneal artery, the location and distribution area of its perforator.12 foot dorsum soft tissue defect were reconstructed by the retrograde superficial peroneal artery flap which rotated at the point 5cm above the lateral malleolus, the flap size ranged from 4cm× 5cm×8.5cm × 15cm. Results A few perforator with different number arise from the superficial peroneal artery during the course which supplying the proxima-middle lateral lower limb and the trunk of the superficial peroneal artery anastomose with the terminal perforator of the peroneal artery to a chain. All of the 12 flap survive and has good texture, sound and thin appearance with 3-16 months follow-up.Conclusion The superficial peroneal artery has enough perforator which can supply a long pedicle to rotate and has sound size. The flap can reconstruct the middle and distal foot dorsum with wonderful clinical outcome.

关 键 词：腓浅动脉 解剖 显微外科 

分 类 号：R622.1[医药卫生—整形外科]