摘要
目的探讨腓动脉逆行穿支蒂皮瓣修复足背侧软组织缺损的可行性。方法对2011年10月—2012年9月收治的足背侧软组织损伤13例实施腓动脉逆行穿支蒂皮瓣修复手术。结果 13例腓动脉逆行穿支蒂皮瓣均成活,随访4～8个月,皮瓣血运与质地优11例,良2例,未行神经移位的9例感觉恢复达S2,行腓肠外侧皮神经移位的4例中3例感觉恢复达S3,1例达S3+。结论应用腓动脉逆行穿支蒂皮瓣修复足背侧软组织效果优良,可在一定程度恢复浅感觉。
Objective To evaluate the feasibility of retrograde skin flaps by perforating branches of peroneal artery in repair of the soft tissue loss in dorsum pedis.Methods A total of 13 patients with the soft tissue loss in dorsum pedis during October 2011 and September 2012 underwent retrograde skin flaps repair by perforating branches of peroneal artery.Results All skin flaps survived with follow-up for 4-8 months after operation.The blood supply and texture were further appraised,among which 11 skin flaps were excellent,and 4 were good.The sensory recovery of the skin flaps（9 cases） without nerve transferring reached S2,while the skin flaps with lateral sural cutaneous nerve transferred in 3 of 4 cases were S3,and 1 case reached S3 ＋.Conclusion Retrograde skin flaps by perforating branches of peroneal artery may get satisfactory curative effect in repair of the soft tissue loss in lateral dorsum pedis,and may partly restore superficial sensation.
出处
《解放军医药杂志》
CAS
2013年第7期49-51,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
腓动脉
外科皮瓣
软组织损伤
足损伤
Peroneal artery
Surgical flap
Soft tissue injury
Foot injury
