CAJ | 학술논문

目的评价胫后动脉穿支皮瓣带神经修复小儿足跟软组织缺损的临床效果.方法应用胫后动脉穿支皮瓣带神经修复9例足跟负重区软组织缺损,年龄:4～12岁(平均7.5岁).切取皮瓣面积最大12 cm×6 cm,最小6 cm×4.5 cm.供区创面行Ⅰ期全厚网状游离植皮.皮瓣携带的隐神经在足跟部与腓肠神经吻合.结果所有的皮瓣完全存活,取得了满意的临床效果.随访1.5～4年,平均随访2.5年,皮瓣恢复了感觉,两点分辨觉为30～33 mm,受区未发生溃疡.结论胫后动脉穿支带蒂皮瓣具有血管解剖恒定、血运丰富以及操作简单等优点,适宜修复小儿足跟负重区软组织缺损.
목적 평개경후동맥천지피판대신경수복소인족근연조직결손적림상효과.방법 응용경후동맥천지피판대신경수복9례족근부중구연조직결손,년령:4～12세(평균7.5세).절취피판면적최대12 cm×6 cm,최소6 cm×4.5 cm.공구창면행Ⅰ기전후망상유리식피.피판휴대적은신경재족근부여비장신경문합.결과 소유적피판완전존활,취득료만의적림상효과.수방1.5～4년,평균수방2.5년,피판회복료감각,량점분변각위30～33 mm,수구미발생궤양.결론 경후동맥천지대체피판구유혈관해부항정、혈운봉부이급조작간단등우점,괄의수복소인족근부중구연조직결손.
Objective To summarize the clinical application of using pedicle perforator flaps of the posterior tibial artery with nerve anastomosis for the repair of soft tissue defect of the heel in children.Methods Nine the pedicle perforators flaps were used to repair soft tissue defect in the weightbearing areas of the heel in children.They ranged in age from 4 to 12 years (mean 7.5 y).The sizes of the flaps ranged from 12 cm× 6 cm to 6 cm × 4.5 cm.All the donor sites were closed by meshed full thickness skin grafts.The saphenous nerve of the flap was anastomosed to the sural nerve at the heel area.Results All flaps had survived completely and satisfactory clinical results were obtained.The follow-up period ranged from 1.5 to 4 years (mean 2.5 y).The flaps recovered sensation,with good two-point discriminations (from 30 mm to 33 mm).Conclusions Perforators flaps of the posterior tibial artery were excellent for repair of soft tissue defect in the weight-bearing areas of the heel in children because of a constant vascular anatomy,high tissue vascularity,and a simple surgical procedure to perform.