组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2012, Vol. 8 ›› Issue (2): 91-93.doi: 10.3969/j.issn.1673-0364.2012.02.008

• 论著 • 上一篇    下一篇

足底内侧动脉分支蒂皮瓣的临床应用

闫少清，邹剑   

  1. 芜湖市中医院骨科；上海交通大学医学院附属第六人民医院骨科
  • 发布日期:2020-07-23

Clinical Application of Flap Pedicled with Medial Plantar Artery Branch

YAN Shaoqing1,ZOU Jian2   

  1. 1 Department of Orthopedics,Wuhu Traditional Chinese Medicine Hospital,Anhui 241000,China;2 Department of Orthopedics,Shanghai Sixth People’s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200233,China.
  • Published:2020-07-23

摘要： 目的探讨以足底内侧动脉各分支为蒂的皮瓣设计和临床应用效果。方法分别以足底内侧动脉的深支和浅支为血管蒂,设计足内侧皮瓣、足底内侧皮瓣游离移植修复5例手掌和6例手指指腹皮肤软组织缺损创面。皮瓣切取面积最大10 cm×7 cm,最小3 cm×3 cm。供区全厚皮片植皮修复。结果 11例皮瓣完全成活,伤口均Ⅰ期愈合;供区1例植皮后少量坏死,换药后痂下愈合,其余均成活。10例成功随访,随访时间6～18个月,皮瓣质地优良,外形无明显臃肿,两点辨别觉7～9 mm。患手经功能康复训练后,按中华医学会手外科分会上肢部分功能评定试用标准评定,优5例,良3例,可2例。结论该类皮瓣血供可靠,外形和质地良好,是修复手掌和指腹皮肤缺损的理想选择。

关键词: 皮瓣, 足底内侧动脉, 显微外科

Abstract: Objective To explore the design and clinical application of flap pedicled with medial plantar artery branch.Methods Five cases with palmer soft tissue defects and six cases with finger pulp wound were repaired by medial foot flap and medial plantar flap based on the superficial and deep branch of the medial plantar artery respectively.The flap was 3 cm × 3 cm to 10 cm × 7 cm in size.The skin of donor site was repaired by full-thickness skin graft.Results Eleven cases of all flaps were survived and healed completely.Skin necrosis of donor site was observed in 1 case and healed under scab after dressing.Ten cases were followed up for 6 to 18 months.The flap texture was good and no bloated appearance was observed.Two-point discrimination was measured from 7 mm to 9 mm.After functional rehabilitation,the functional results were excellent in 5 cases,good in 3 cases,fair in 2 cases according to Chinese Medical Association Hand Surgery Function Assessment.Conclusion Flap pedicled with medial plantar artery branch is an ideal choice for repairing palmer and finger pulp wound with satisfied blood supply,shape and texture.

Key words: Flap, Medial plantar artery, Microsurgery

中图分类号: