胫后动脉穿支皮瓣修复小腿中下段及足部皮肤软组织缺损体会  

Experience of Repairing Skin and Soft Tissue Defect of Lower Middle Leg and Foot with Posterior Tibial Artery Perforator Flap

作　　者：王伟 WANG Wei(Department of bum trauma restoration reconstruction,Shanxi Fenyang hospital,Fenyang,Shanxi 032200)

机构地区：[1]山西省汾阳医院烧伤创伤修复重建外科,山西汾阳032200

出　　处：《中国伤残医学》2021年第6期8-9,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨胫后动脉穿支皮瓣修复小腿中下段及足部皮肤软组织缺损的治疗体会.方法:对2017年12月-2019年12月我科治疗的37例小腿中下段及足部皮肤软组织缺损病患行胫后动脉穿支皮瓣修复术,创面大部分为骨质或肌腱外露,无法植皮修复,皮瓣面积3.8cmx4.0cm-8.0cmx6.2cm.结果:全部患者均完成手术,术后皮瓣全部成活,创面1期愈合,术后随访5-11个月,皮瓣质软、弹性良好、外观正常,皮瓣2点辨别觉5-12mm,供瓣区瘢痕不明显.足底皮瓣患者在随访期间.足底感觉无明显异常.结论:胫后动脉穿支皮瓣修复小腿中下段及足部软组织缺损效果肯定,皮瓣成活率较高.Objective:To explore the experience of repairing the skin and soft tissue defects of the lower middle leg and foot with posterior tibial artery perforator flap.Methods:37 cases of skin and soft tissue defect of middle lower leg and foot treated by our department from December 2017 to December 2019 were repaired with posterior tibial artery perforator flap.Most of the wounds were exposed to bone or tendon and could not be repaired by skin grafting.The area of flap was 3.8 cm,x4.0 cm-8.0 cm,x6.2 cm.Results:All the patients completed the operation,all the flaps survived,the wound healed in the first stage,followed up for 5-11 months,the flap was soft,elastic and external After normal observation,the scar of donor flap area was not obvious mm,5-12.patients with plantar flap during follow-up.There was no obvious abnormality in plantar sensation.Conclusion:Posterior tibial artery perforator flap is effective in repairing soft tissue defect of lower middle leg and foot.

关 键 词：胫后动脉穿支皮瓣 皮瓣修复 足部及小腿中下段皮肤软组织缺损 

分 类 号：R622[医药卫生—整形外科]