中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2013年
2期
123-125
,共3页
杨晓东%刘杨武%杨锦%张根福%丁茂超%梅劲
楊曉東%劉楊武%楊錦%張根福%丁茂超%梅勁
양효동%류양무%양금%장근복%정무초%매경
腓浅动脉%穿支皮瓣%移植%前足%显微外科
腓淺動脈%穿支皮瓣%移植%前足%顯微外科
비천동맥%천지피판%이식%전족%현미외과
Superficial peroneal artery%Perforator flap%Transplantation%Forefoot%Microsurgery
目的 探讨削薄腓浅动脉穿支皮瓣游离移植修复前足创面的临床效果. 方法 2010年1月至2012年6月,应用削薄腓浅动脉穿支皮瓣游离移植修复前足创面6例,其中足背创面4例,足趾创面2例；缺损面积为3.0cm×5.0cm～5.5cm×8.0cm;4例供区直接缝合,2例供区创面植皮修复. 结果 本组6例皮瓣全部成活,未出现血管危象.随访3 ～12个月,原缺损部位外形及功能恢复满意,供区外形功能无明显影响. 结论 削薄腓浅动脉穿支皮瓣血管解剖恒定,皮瓣质地好,厚薄适中,供区破坏小,是游离移植修复前足创面的新选择,值得在临床上推广应用.
目的 探討削薄腓淺動脈穿支皮瓣遊離移植脩複前足創麵的臨床效果. 方法 2010年1月至2012年6月,應用削薄腓淺動脈穿支皮瓣遊離移植脩複前足創麵6例,其中足揹創麵4例,足趾創麵2例；缺損麵積為3.0cm×5.0cm～5.5cm×8.0cm;4例供區直接縫閤,2例供區創麵植皮脩複. 結果 本組6例皮瓣全部成活,未齣現血管危象.隨訪3 ～12箇月,原缺損部位外形及功能恢複滿意,供區外形功能無明顯影響. 結論 削薄腓淺動脈穿支皮瓣血管解剖恆定,皮瓣質地好,厚薄適中,供區破壞小,是遊離移植脩複前足創麵的新選擇,值得在臨床上推廣應用.
목적 탐토삭박비천동맥천지피판유리이식수복전족창면적림상효과. 방법 2010년1월지2012년6월,응용삭박비천동맥천지피판유리이식수복전족창면6례,기중족배창면4례,족지창면2례；결손면적위3.0cm×5.0cm～5.5cm×8.0cm;4례공구직접봉합,2례공구창면식피수복. 결과 본조6례피판전부성활,미출현혈관위상.수방3 ～12개월,원결손부위외형급공능회복만의,공구외형공능무명현영향. 결론 삭박비천동맥천지피판혈관해부항정,피판질지호,후박괄중,공구파배소,시유리이식수복전족창면적신선택,치득재림상상추엄응용.
Objective To investigate the clinical effect of free ultra-thin superficial peroneal artery perforator flap for repairing the wound in forefoot.Methods From January 2010 to June 2012,six cases were treated with free ultra-thin superficial peroneal artery perforator flap for repairing the wound in forefoot,including 4 cases of dorsal defect,two cases of wound on the toe.The size of the wound ranged from 3.0 cm × 5.0 cm 5.5 cm × 8.0 cm.Four cases for direct suture,two cases of donor site repairing with skin graft.Results All of 6 cases were repaired successfully and no vascular crisis occurred,and clinical follow ups were performed after 3-12 months,the results was satisfactory.Conclusion It is an effective method of repairing the wound in forefoot by free ultra-thin superficial peroneal artery perforator flap.
