摘要
目的 应用逆行胫前动脉岛状皮瓣修复伴有足背动脉损伤的足背大面积皮肤缺损。方法 以内、外踝连线上2cm区域,即胫前动脉与腓动脉、胫后动脉的吻合交通支处,作皮瓣的旋转点,在内外踝中点,胫骨结节与腓骨小头中点的连线上设计带胫前动脉上或下皮支血管的皮瓣,形成以胫前动脉与腓动脉、胫后动脉的吻合交通支为供血血管的皮瓣,逆行转位修复足背部创面。临床应用9例,其中面积最大16cm×10cm,最小10cm×6cm,结果 9例皮瓣全部成活,经过半年至三年的随访,皮瓣血运良好,伤口无复发。结论 在足背动脉损伤的情况下,应用逆行胫前动脉岛状皮瓣仍可修复足背部大面积皮肤缺损。
<abstract>jective Application the retrograde anterior tibial artery island flap to repair the skin and soft tissue defects of the dirsal pedal regions. Methods The retrograde anterior tibial artery island flap, whose blood was supplied by anastomosis branches around the upper malleolar line 2cm regions, were designed and applied in clinical to repair the skin and soft defect at the dorsal pedal regions of 9 patiens. The Size of flap ranged from 10cm×6cm-16cm×10cm . Rusult The totally survived in 9 cases . Conclusion The retrograde anterior tibial artery island flap Can be used in repairing skin and soft tissue defect at the dorsal pedal regions with injury of dorsal artery of the foot .
出处
《国际医药卫生导报》
2004年第16期40-41,共2页
International Medicine and Health Guidance News
关键词
踝部
胫前动脉
外科皮瓣
<keyword>lleolus Anterior tibial artery Surgical flap
