游离腓肠外侧浅动脉穿支皮瓣修复指背软组织缺损  

Application of free lateral sural superficial artery perforator flap for repairing digital dorsal soft tissue defect

作　　者：米守湖 滕云升 梁高峰 贾宗海 张满盈 刘云华 MI Shouhu;TENG Yunsheng;LIANG Gaofeng(Grade Master of Shanxi University of Chinese Medicine,Xian,Shanxi,712046,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046 [2]兵器工业卫生研究所,陕西西安710065

出　　处：《实用手外科杂志》2018年第3期285-287,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨腓肠外侧浅动脉穿支皮瓣在修复指背软组织缺损的临床应用效果。方法 2015年1月-2017年1月,对14例指背软组织缺损创面行Ⅰ期清创,Ⅱ期行腓肠外侧浅动脉穿支皮瓣修复,供区创面直接缝合。结果皮瓣全部成活,随访4~14个月,平均7个月。皮瓣质地柔软,外观无明显臃肿,部分感觉恢复可,手指功能恢复良好。结论应用游离腓肠外侧浅动脉穿支皮瓣修复指背软组织缺损,尤其是跨关节损伤,外形美观,对小腿功能影响小,是临床修复指背软组织缺损的良好选择。Objective To discuss the clinical effect of free lateral sural superficial artery perforator flap for repairing digital dorsal soft tissue defect. Methods From January 2015 to January 2017, 14 cases of digital dorsal soft tissue defect were treated. The wound was debridiated at the first stage, and was repaired with lateral sural superficial artery perforator flap, and was transplantated at the second stage, the donor wound was sutured directly. Results All the flaps survived, and were followed up for 4-14 months, with an average of 7 months. The flaps had soft texture without obvious overstaff, partial sensation had recovered, the digital function recovered well. Conclusion The application of free lateral sural superficial artery perforator flap for repairing digital soft tissue defect, especially the transarticular injury, has the advantage of beautiful appearance, less influence on calf function, is an ideal choice for repairing digital dorsal soft tissue defect.

关 键 词：穿支皮瓣 显微外科 软组织缺损 

分 类 号：R658.2[医药卫生—外科学]