小腿前外侧跨区反流轴型皮瓣的解剖及临床研究

发布时间：2018-08-23 10:02

【摘要】：本研究通过对10 侧灌注红色乳胶的成人下肢标本进行分层次的显微解剖,观测腓浅动脉与腓动脉终末穿支的升支之间的吻合情况,以明确二者的吻合情况是否具备轴型血管跨区反流供血的解剖学基础,并在此基础上设计腓动脉终末穿支跨区供血的小腿前外侧反流轴型皮瓣并应用于临床。解剖研究结果表明:在小腿下1/3 段,腓浅动脉与腓动脉终末穿支的升支之间有比较恒定的吻合支存在,属于跨区反流供血吻合形式的Ⅱ吻合。因此,具备轴型血管跨区反流供血的解剖学基础。在此基础上,设计腓动脉终末穿支跨区供血的小腿前外侧反流轴型皮瓣用于修复足跟及足背部,尤其前足软组织缺损,临床应用12 例,效果满意。由于该皮瓣质地好,血运可靠,血管蒂长,切取面积大,手术操作简单等优点,因此该皮瓣为修复足跟及足背部,尤其是前足软组织缺损提供了一种良好的手术方法,值得临床上推广应用。
[Abstract]:In this study, 10 adult lower extremity specimens infused with red latex were dissected and the anastomosis between superficial peroneal artery and ascending branch of peroneal artery was observed. In order to determine whether the anastomosis of the two has the anatomical basis of axial vascular cross region regurgitation, the anterolateral reflux axial flap of the leg was designed and applied to clinical practice on the basis of which the end perforating branch of peroneal artery was used to supply blood from the anterolateral reflux axial flap of the leg. The anatomical results showed that there was a relatively constant anastomotic branch between the superficial peroneal artery and the ascending branch of the final perforating branch of the peroneal artery in the lower third of the leg, which belonged to the second anastomosis of transregional reflux anastomosis. Therefore, there is an anatomical basis for cross-region reflux of axial vessels. On this basis, the axial flap of anterolateral reflux was designed for repairing heel and back of foot, especially soft tissue defect of forefoot. 12 cases were applied in clinic with satisfactory results. Because the flap has the advantages of good texture, reliable blood supply, long vascular pedicle, large cutting area and simple operation, it provides a good surgical method for repairing heel and back of foot, especially for soft tissue defect of forefoot. It is worth popularizing in clinic.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R658;R322

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