CAJ | 학술논문

目的报道带神经血管蒂足底内侧皮瓣的解剖特点及修复足跟缺损的应用效果.方法 10具成年人体标本(20侧下肢),解剖观测其足底内侧动脉起源、分支、走行和分布以及该皮瓣的支配神经情况.临床应用带神经血管蒂足底内侧皮瓣修复同侧及对侧足跟皮肤缺损8例,供区植皮.结果足底内侧动脉深支平均长度(8.9±0.2)cm,3～5条皮支.足底内侧神经的分支5～8支.它包含分布足底皮肤直接皮支3～5支和分布足趾皮肤的趾底固有神经2～4支.8例共用8个皮瓣.皮瓣大小为4 cm×3 cm～5 cm×6 cm,6例带蒂转移修复,2例游离移植.8个皮瓣完全成活,所有病例获随访1个月～1年,皮瓣功能、外形良好.结论足底内侧皮瓣解剖变异少,血供可靠,不牺牲主要血管,转移后能恢复较好的感觉,是修复足跟皮肤缺损的理想皮瓣
목적 보도대신경혈관체족저내측피판적해부특점급수복족근결손적응용효과.방법 10구성년인체표본(20측하지),해부관측기족저내측동맥기원、분지、주행화분포이급해피판적지배신경정황.림상응용대신경혈관체족저내측피판수복동측급대측족근피부결손8례,공구식피.결과 족저내측동맥심지평균장도(8.9±0.2)cm,3～5조피지.족저내측신경적분지5～8지.타포함분포족저피부직접피지3～5지화분포족지피부적지저고유신경2～4지.8례공용8개피판.피판대소위4 cm×3 cm～5 cm×6 cm,6례대체전이수복,2례유리이식.8개피판완전성활,소유병례획수방1개월～1년,피판공능、외형량호.결론 족저내측피판해부변이소,혈공가고,불희생주요혈관,전이후능회복교호적감각,시수복족근피부결손적이상피판
Objective To explore an anatomical basis for the medial plantar skin flaps and its clinical value of repairing heel defects. Methods The origin,branches,course and distribution of the medial plantar artery and the nerve of flaps were studied in 10 adult cadavers(20 legs).8 cases of homonymy and opposite side heel soft tissue defects with medial plantar skin flaps,aged 10-42 years.Free skin transplantation on the donors. Results The length of media plantar artery deep branch was (8.9±0.2)cm,gives off 3-5 cutaneous branches.Medial plantar nerve have 5-8 branches.it inchdes 3～5cutaneous branches distribute plantar skin and 2-4 plantar digital nerves distribute toes skin.The area of flaps was 4.0 cm×3.0 cm-6.0 cm×5.0 cm in the 8 flaps. 6 pedicle skin flaps were transfenrred to repair homonymy side heel soft tissue defects.2 opposite side heel soft tissue defects were repaired by 2 free flaps.All the flaps were survived. All patients were followed up one months to one year,the function and appearance of the flaps were good.Conclusion The flaps have less anatomic variation or sacrificing major vessels but have reliable blood supply and can restore good sensation after operation.They are ideal flaps for repairing heel soft tissue defects.