腓动脉穿支皮瓣逆行修复足跟部皮肤软组织缺损20例  

A Clinical Study： curing parenchyma defect of heel by byretrograde fibular artery perforator branch flaps

作　　者：谢水安 王生钰 杨隆 徐如彬 孙世伟 袁俊 

机构地区：[1]东莞市横沥医院骨科,广东东莞523460

出　　处：《实用手外科杂志》2016年第2期206-207,共2页Journal of Practical Hand Surgery

摘　　要：目的 探讨应用腓动脉穿支皮瓣逆行修复足跟皮肤软组织缺损的方法及临床疗效.方法 根据缺损部位、大小及形状,保留外踝上3.0～7.0 cm处直径较粗大的腓动脉穿支并作为皮瓣旋转点,切取皮瓣逆行转位修复创面.皮瓣面积为4.0 cm×7.0 cm～9.0 cm×13.0 cm.结果 20例术后足跟部皮瓣血运良好,全部成活.随访6个月～5年,皮瓣质地优良,外观满意,足部功能恢复满意,负重区无溃疡发生,供区愈合良好,均获得满意疗效.结论 腓动脉穿支皮瓣逆行修复足跟皮肤软组织缺损具有血供可靠、血管蒂长、切取范围大、外形与质地良好、操作简单等优点,是修复足跟皮肤软组织缺损的较理想皮瓣.Objective To elucidate curing parenchyma defect of Heel by apphng byretrograde fibular artery perforating branch flaps. Methods To design flaps according to the area, position and shape of defects, to preserve perforating branch of fibular artery with relatively thick parameter in the place 3.0-7.0 cm above external malleolus, and make it as Flap rotation point, and to make flaps and alter it to retrograde transposition to cover the defects. The area of flaps ranged from 4.0 cm×7.0 cm to 9.0 cm×13.0 cm. Results All 20 cases of heel flaps had satisfactory blood supply after operation. After 6 months to 5 years follow-up, all the flaps had fine quality, nice shape and the function feet had satisfactory recovery, no ulcer appeared in load area, and donor site had good union. Conclusion The therapy of curing parenchyma heel defect by apphng retrograde fibular artery perforating branch flaps has advantages of rehable blood supply, long enough vessel pedicle, large enough area, satisfactory shape and quality, and with simple operation. Above all, it is an ideal flap therapy to cure parenchyma defect of heel.

关 键 词：足跟 软组织缺损 修复 腓动脉穿支皮瓣 

分 类 号：R658.3[医药卫生—外科学]