腘动脉外侧穿支皮瓣修复小腿上段皮肤软组织缺损  

Repair of the skin and soft tissue defect on upper calf with the lateral popliteal artery perforator flap

作　　者：聂开瑜[1] 陈伟[1] 魏在荣[1] 金文虎[1] 邓呈亮[1] 孙广峰[1] 祁建平[1] 王波[1] 

机构地区：[1]遵义医学院附属医院烧伤整形外科,563000

出　　处：《中华整形外科杂志》2016年第2期107-110,共4页Chinese Journal of Plastic Surgery

基　　金：国家自然科学基金（81360295）;国家临床重点专科建设项目[国卫办医函（2013）544];贵州省优秀青年科技人才培养对象专项资金项目[黔科合人字（2013）12号]

摘　　要：目的探讨腘动脉外侧穿支皮瓣修复小腿上段皮肤软组织缺损的可行性及效果。方法术前应用多普勒超声血流探测仪探测穿支血管部位及其走行，彻底清创后，以穿支血管为蒂，依据创面大小及形状设计腘动脉外侧穿支皮瓣，修复小腿上段皮肤软组织缺损。结果2010年1月至2014年1月于临床应用10例，小腿创面范围为3cm×2cm-9cm×6cm，皮瓣切取范围为3cm×3cm～10cm×8cm；供区直接拉拢缝合4例，采用游离断层皮片移植修复6例。术后所有皮瓣完全存活，供、受区创面及切口均一期愈合。10例均获随访，时间为6—15个月，平均10个月，皮瓣无臃肿，色泽、质地和外形良好。结论腘动脉外侧穿支皮瓣血供可靠，手术操作简便，是修复小腿上段皮肤软组织缺损创面的较好方法之一。Objective To explore the feasibility and effect of the lateral popliteal artery perforator flap in repairing the skin and soft tissue defect on upper calf. Methods The position and course of the perforators were confirmed with the color Doppler ultrasound. The flap was designed with the lateral popliteal artery perforator as the pedicle artery to repair the skin and soft tissue defect on upper calf according to the shape and size of the wound. Results From January 2010 to January 2014, 10 patients with traumatic upper calf skin and soft tissue defect were admitted. The wound size ranged from 3 cm × 2 cm to9 cm×6 cm, and the flap size ranged from 3 cm×3 cm to 10 cm×8 cm. The wounds at donor sites were closed directly in 4 cases and were covered with split thickness skin graft in 6 cases. All flaps survived completely. Surgical incisions and wounds at donor sites and recipient sites healed primarily. All eases were followed up for 6 - 15 months （ 10 months on average） with good flaps color, texture and shape. Conclusions The lateral popliteal artery perforator flap has reliable blood supply and is easily performed. It is one of the optional methods for repairing wound of the upper calf.

关 键 词：腘动脉 穿支皮瓣 腿 软组织损伤 

分 类 号：R658.3[医药卫生—外科学]