腓肠浅动脉逆行岛状皮瓣修复足跟缺损的改进  

Improved repairment of defects on feet with superficial sural artery island flaps

作　　者：刁志勇[1] 孙延昌[1] 李丽华[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院整形烧伤外科,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2003年第4期334-335,共2页Journal of Harbin Medical University

摘　　要：目的　探讨用腓肠浅动脉逆行岛状皮瓣修复足跟缺损的治疗效果 ,并对此方法进行改进。方法　在皮瓣的紧邻近蒂端的中轴线上 ,设计一个矩型的辅助皮瓣 ,使其宽 2cm ,长度等于旋转点到缺损区最上方的距离 ,用于在皮瓣转移后覆盖蒂部。对于较深的缺损 ,皮瓣深面带有部分腓肠肌。结果　手术 15例 ,皮瓣完全成活。随访 6～12个月 ,效果满意。结论　用腓肠浅动脉逆行岛状皮瓣修复足跟缺损时 ,设计辅助皮瓣可防止蒂部受压 ,从而确保皮瓣血运。对于较深的缺损 ,皮瓣深面可以带有部分腓肠肌 ,来填充深部缺损 。Objective To improve the repairment of defects on feet with superficial sural artery island flaps.Methods A rectangle supplementary flap on the proximal end of the major flap was designed to cover the pedicle site.The major flap with a part of gastrocnemius muscles was used to repair deep defects.Results All cases achieved satisfactory results. With follow up periods ranging from 6 to 12 months in duration,the results were stable.Conclusion A supplementary flap on the proximal end of a superficial sural artery island flap might helpful to protect the pedicle from constiction and to guarantee blood supply.The major flap with a part of gastrocnemius muscles can fill up deep defects and can improve anti infective ability.

关 键 词：腓肠浅动脉 逆行岛状皮瓣 修复 足跟缺损 改进 

分 类 号：R658.3[医药卫生—外科学] R622.1[医药卫生—临床医学]