腓肠内侧动脉分叶皮瓣修复手、足软组织缺损  

Repair of soft tissue defect in hand or foot with lobulated medial sural artery perforator flap

作　　者：赵风景[1] 姚建民[1] 张兴群[1] 马亮[1] 张龙春[1] 徐一波[1] 王鹏[1] 祝震[1] 

机构地区：[1]杭州整形医院,310014

出　　处：《中华整形外科杂志》2015年第6期418-421,共4页Chinese Journal of Plastic Surgery

基　　金：杭州市卫生科技项目（2013824）

摘　　要：目的 探讨腓肠内侧动脉分叶皮瓣修复手、足软组织缺损的临床效果.方法 2012年3月至2014年9月,以腓肠内侧动脉为主干,第1、2肌皮穿支构成分叶皮瓣移植修复手、足部软组织缺损6例,皮瓣面积4.5 cmx10.0 cm-6.0 cmx17.0 cm.结果 5例腓肠内侧动脉分叶皮瓣顺利成活,1例分叶皮瓣因皮瓣下产生积血,出现静脉危象,经血管探查、清除积血后危象解除,皮瓣成活.术后随访4-12个月,平均7个月,皮瓣外观和功能恢复良好,分叶皮瓣平均两点辨距觉为6 mm;3例皮瓣供区遗留线性瘢痕,3例遗留植皮瘢痕,肢体活动不受影响.结论 腓肠内侧动脉分叶皮瓣游离移植修复手、足软组织缺损,方法可靠,效果较好.Objective To explore the clinical effect of the lobulated medial sural artery perforator flap in repairing soft tissue defect in hand or foot.Methods Since March 2012 to September 2014, 6 cases with soft tissue defects in hands or feet were treated by lobulated medial sural artery flaps pedicled with 1st musculo-cutaneous perforator and 2st musculo-cutaneous perforator of the medial sural artery.The size of the flaps ranged from 4.5 cm x 10.0 cm to 6.0 cm x 17.0 cm.Results 5 cases of lobulated flap survived smoothly, only 1 lobulated flap had venous articulo, but this flap also survived after the articulo was removed by vascular exploration.All flaps had desirable appearance and sensation and the two-point discrimination was 6 mm in mean with 4 to 12 months follow-up（average, 7 months）.Linear scar was left in donor sites in 3 cases and skin scar in 3 cases.There was no malfunction in donor sites.Conclusions Lobulated medial sural artery perforator flap is feasible and ideal method for the treatment of soft tissue defect in hand or foot with satisfactory effect.

关 键 词：腓肠内侧动脉 分叶皮瓣 手 足 软组织损伤 

分 类 号：R658[医药卫生—外科学]