组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2008, Vol. 4 ›› Issue (6): 331-333.doi: 10.3969/j.issn.1673-0364.2008.06.009

• 论著 • 上一篇    下一篇

腓肠内侧动脉带蒂肌瓣的临床应用与改进

张功林，葛宝丰，赵来绪，杨军林，陈克明   

  1. 兰州军区总医院骨科研究所;武山县人民医院骨科;
  • 发布日期:2020-07-23

Clinical Application and Improvement of Medial Sural Artery Pedicled Muscle Flap

ZHANG Gonglin1,GE Baofeng1,ZHAO Laixu2,YANG Junlin2,CHEN Keming1   

  1. 1 Institute of Orthopaedics;Lanzhou General Hospital of CPLA;Lanzhou 730050;China;2 Department of Orthopaedics;Wushan County People s Hospital;Wushan 741300;China.;
  • Published:2020-07-23

摘要： 目的总结改进的腓肠内侧动脉带蒂肌瓣的临床应用结果。方法用此方法修复18例胫前区和膝关节周围软组织缺损。其中,胫骨上1/3软组织缺损6例,中1/3缺损5例,膝关节区7例。肌瓣表面行一期中厚网孔状游离植皮,供区直接缝合。结果肌瓣和其上植皮全部成活,受区外形较好,没有发现明显的供区功能障碍,取得了较满意的效果。2例术后发生表浅感染,经换药后愈合。结论该肌瓣以腓肠内侧动脉为血供,具有血供丰富、血管解剖恒定、血管蒂长以及肌瓣较薄等优点,带蒂移植适宜修复小腿上2/3和膝关节区软组织缺损。

关键词: 肌瓣, 带蒂移植, 缺损

Abstract: Objective To summarize clinical application and improvement of the medial sural artery pedicled muscle flap to cover soft tissue defects on the lower leg and knee region. Methods Eighteen patients with soft tissue defects on the proximal two third of the lower leg and knee region underwent reconstruction with this method. Among them, recipient site were located on the upper one third of the lower leg in 6 cases, 5 cases were located on the middle one third of the lower leg and 7 cases on the knee region. Th...

Key words: Muscle flap, Pedicled transfer, Defect

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