中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2013年
5期
440-442
,共3页
欧学海%许玉本%尚驰%杜小龙%朱建军%夏雷
歐學海%許玉本%尚馳%杜小龍%硃建軍%夏雷
구학해%허옥본%상치%두소룡%주건군%하뢰
前足%腓动脉穿支皮瓣%显微外科
前足%腓動脈穿支皮瓣%顯微外科
전족%비동맥천지피판%현미외과
Front feet%Propeller flap of the peroneal artery%Microsurgery
目的 探讨利用小腿腓动脉穿支皮瓣游离移植修复前足皮肤缺损. 方法 2009年1月至2012年9月,共收治13例前足部皮肤缺损患者,创面范围5 cm×4cm~11 cm×14 cm.依据腓动脉于小腿发出的穿支设计小腿后外侧腓动脉穿支皮瓣游离移植修复前足创面;小腿创面采用直接缝合或全厚皮片移植覆盖. 结果 13例患者术后游离皮瓣均成活,创面均一期愈合,其中1例术后出现血管危象,经手术探查解除.术后随访3 ~17个月,平均9.4个月.游离皮瓣质地良好,修复足功能行走无明显影响,患者对疗效满意.供区创口愈合良好,无明显肌肉瘢痕粘连.按足部疾患治疗效果评定标准(JOA)评定,结果为77~ 100分,平均85.5分. 结论 利用小腿腓动脉穿支皮瓣修复前足皮肤缺损损伤小,皮瓣更加接近受区,不失为一种较合理的方法.
目的 探討利用小腿腓動脈穿支皮瓣遊離移植脩複前足皮膚缺損. 方法 2009年1月至2012年9月,共收治13例前足部皮膚缺損患者,創麵範圍5 cm×4cm~11 cm×14 cm.依據腓動脈于小腿髮齣的穿支設計小腿後外側腓動脈穿支皮瓣遊離移植脩複前足創麵;小腿創麵採用直接縫閤或全厚皮片移植覆蓋. 結果 13例患者術後遊離皮瓣均成活,創麵均一期愈閤,其中1例術後齣現血管危象,經手術探查解除.術後隨訪3 ~17箇月,平均9.4箇月.遊離皮瓣質地良好,脩複足功能行走無明顯影響,患者對療效滿意.供區創口愈閤良好,無明顯肌肉瘢痕粘連.按足部疾患治療效果評定標準(JOA)評定,結果為77~ 100分,平均85.5分. 結論 利用小腿腓動脈穿支皮瓣脩複前足皮膚缺損損傷小,皮瓣更加接近受區,不失為一種較閤理的方法.
목적 탐토이용소퇴비동맥천지피판유리이식수복전족피부결손. 방법 2009년1월지2012년9월,공수치13례전족부피부결손환자,창면범위5 cm×4cm~11 cm×14 cm.의거비동맥우소퇴발출적천지설계소퇴후외측비동맥천지피판유리이식수복전족창면;소퇴창면채용직접봉합혹전후피편이식복개. 결과 13례환자술후유리피판균성활,창면균일기유합,기중1례술후출현혈관위상,경수술탐사해제.술후수방3 ~17개월,평균9.4개월.유리피판질지량호,수복족공능행주무명현영향,환자대료효만의.공구창구유합량호,무명현기육반흔점련.안족부질환치료효과평정표준(JOA)평정,결과위77~ 100분,평균85.5분. 결론 이용소퇴비동맥천지피판수복전족피부결손손상소,피판경가접근수구,불실위일충교합리적방법.
Objective To investigate the use of free transplantation of peroneal artery perforator-based propeller to the repair of the front feet skin defect.Methods Thirteen cases with front foot skin defect patients repaired through transplation of propeller flap of the peroneal artery from January 2009 to September 2012.The wound range was 5 cm ×4 cm-11 cm × 14 cm.The propeller flap of the peroneal artery designed according to the position of the propeller of the peroneal artery in a leg.The wound of the leg were repaired through suture directly or transplantation of skin.Results All 13 cases of free propeller flap were survived,the wound healing goodly.One case with the postoperatie blood vessels were removed by the surgical exploration.The time of follow-up between 3 and 17 months(mean 9.4 months).The quality of free flap was good.The function of walk of the foot repaired were not significantly affect.The patients were satisfactory to the results.The wound of the leg healed well ; The leg had no obvious muscle cicatricial adhesion.According to the foot disease treatment effect evaluation standard (JOA) evaluation,the result for 77-100 points,an average of 85.5 points.Conclusion Using propeller flap of the peroneal artery to repair the skin defect of front feet with a little injury,the skin texture more close to the repaired area,it is a reasonable approach.