顺行胫后动脉穿支皮瓣在足踝部创面修复中的应用  

Clinical application of antegrade perforator flaps with posterior tibial artery to repair the wound surface of foot and ankle

作　　者：刘跃飞[1] 巨积辉[1] 吕文涛[1] 蓝波[1] 许华龙[1] 侯瑞兴[1] 

机构地区：[1]苏州大学附属瑞华医院手外科,江苏苏州215104

出　　处：《实用手外科杂志》2016年第1期16-17,共2页Journal of Practical Hand Surgery

基　　金：江苏省自然科学基金（项目编号：BK20151203）

摘　　要：目的 探讨顺行胫后动脉穿支皮瓣修复足踝部创面的临床疗效。方法2010年3月-2013年12月，对5例外伤导致的足踝部皮肤坏死并缺损患者，采用顺行胫后动脉穿支皮瓣进行修复，切取皮瓣面积最大为7．0cm×9．0cm，最小为4．0cm×6．0cm。结果术后5例皮瓣全部成活，随访3～18个月，平均10个月，皮瓣质地柔软、不臃肿，外观满意，足踝部功能未见明显影响。结论应用顺行胫后动脉穿走皮瓣修复足踝部创面临床疗效满意，是一种安全、实用的术式。Objective To explore the clinical experience of antegrade perforator flaps with posterior tibial artery to repair the wound of foot and ankle. Methods From March 2010 to December 2013, 5 patients with skin necrosis and defects of foot and ankle caused by trauma were treated with antegrade perforator flaps with posterior tibial artery. The size of flap, the maximum was 9.0 cm×7.0 cm, and the smallest was 6.0 cm×4.0 cm. Results All the flaps survived completely, and all patients were followed for 3 to 18 months, with an average of 10 months, the flaps appeared well, and foot and ankle function was not obviously effected. Conclusion Using antegrade perforator flap with posterior tibial artery in treatig the wound surface of Foot and ankle can obtain satisfactory clinical effect, which is a safe and practical operation.

关 键 词：胫后动脉 穿支皮瓣 足 踝 修复 

分 类 号：R658.3[医药卫生—外科学]