足背动脉穿支蒂皮瓣修复前足背侧皮肤软组织缺损疗效观察

发布时间：2018-11-22 13:07

【摘要】：目的探讨足背动脉穿支蒂皮瓣修复前足背侧皮肤软组织缺损的临床疗效。方法 2011年1月—2016年6月,应用足背动脉穿支蒂皮瓣修复前足背侧皮肤软组织缺损16例。男10例,女6例;年龄17~65岁,平均28.5岁。致伤原因:重物砸伤9例,交通事故伤7例。左足7例,右足9例。创面均位于跖跗关节以远前足背侧;合并肌腱外露10例,骨外露6例。急症修复9例,择期修复7例。创面范围5.0 cm×4.0 cm~7.5 cm×7.0 cm。皮瓣切取范围为6 cm×6 cm~9 cm×9 cm。结果 1例皮瓣术后第2天开始出现张力性水疱,皮瓣肿胀较严重,经对症处理后愈合;其余皮瓣及供区植皮均成活。术后16例均获随访,随访时间6~18个月,平均8个月。皮瓣颜色、质地、厚度均与周围正常组织相似,患足能正常穿鞋及负重行走。结论足背动脉穿支蒂皮瓣手术操作简便,无需牺牲主干血管,是修复前足背侧皮肤软组织缺损的有效方法之一。
[Abstract]:Objective to investigate the clinical effect of dorsal foot artery perforator pedicle flap in repairing anterior dorsal foot skin and soft tissue defect. Methods from January 2011 to June 2016, 16 cases of anterior dorsalis pedis skin and soft tissue defects were repaired by pedicle flap pedicled with perforating branch of dorsal foot artery. There were 10 males and 6 females, aged 17 to 65 years (mean 28.5 years). The causes of injury included 9 cases of heavy object injury and 7 cases of traffic accident injury. Left foot 7 cases, right foot 9 cases. The wounds were located in the distal dorsalis pedis of tarsometatarsal joint, 10 cases with tendon exposure and 6 cases with bone exposure. Emergency repair in 9 cases, selective repair in 7 cases. Wound area 5.0 cm 脳 4.0 cm~7.5 cm 脳 7.0 cm. The range of flap removal is 6 cm 脳 6 cm~9 cm 脳 9 cm.. Results tension blister appeared on the second day after operation in one case, the swelling of the flap was serious and healed after symptomatic treatment, and the other flaps and donor skin grafts survived. All the 16 cases were followed up for 6 ~ 18 months (mean 8 months). The color, texture and thickness of the flap are similar to those of the surrounding normal tissue. Conclusion the flap pedicled with perforating branch of dorsalis pedis artery is one of the effective methods for repairing skin and soft tissue defect of dorsal foot without sacrificing the main artery.
【作者单位】：枣庄市薛城区人民医院手足外科;枣庄矿业集团中心医院外科;
【分类号】：R658.3

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