腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部创面
投稿时间:2011-03-21  修订日期:2011-09-23  点此下载全文
引用本文:林涧.腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部创面[J].医学研究杂志,2011,40(11):94-95
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作者单位
林涧 浙江省台州市博爱医院显微外科 
基金项目:浙江省科技计划项目(2011C33022);浙江省台州市科技计划项目(20100ky46);台州市路桥区科技计划项目(2010A23011)
中文摘要:目的报道腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部皮肤软组织缺损临床疗效。方法笔者送取2008年5月~2010年12月间根据足踝部不同的创面缺损情况,在患侧小腿外侧设计腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部缺损创面的15例患者。结果术后皮瓣完全成活,创面1期愈合,经3~48个月随访,皮瓣质地优良、色泽接近正常,外形美观、功能良好。结论利用合理的皮瓣设计,选用血液供应良好、手术方法简单、安全、供区损伤小的皮瓣急诊修复足踝部皮肤缺损创面,获得较为满意的疗效,可供临床选择应用。
中文关键词:腓动脉  穿支蒂筋膜皮瓣  踝部创面  急诊修复
 
Distally Sural Perforator Artery Pedicled Fasciocutaneous Flap in Emergency Reconstruction of Soft Tissue Defects around the Ankle
Abstract:ObjectiveTo report our clinical effect of the distally sural perforator artery pedicled fasciocutaneous flap in emergency reconstruction of soft tissue defects around the ankle.MethodsFrom May 2008 to December 2010, We had designed 15 cases who auepted distally sural perforator artery pedicled fasiocutaneous flaps which based on different soft tissue defects around the ankles in emergency.ResultsAll flaps were survived and these wounds were healed by first intention. After 3~48 months following-up, the colors and appearances of these flaps were close to normal,and the quality and function of these flaps were excellent.ConclusionThe distally sural perforator artery pedicled fasiocutaneous flap is well designed and has relatively constant blood supply. The flap transposition is simple and safe, it is a good choice in repairing soft tissue defects around the ankle in emergency treatment.
keywords:Sural artery  Pedicled fasciocutaneous flap  Wound around ankle  Emergency reconstruction
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