摘要
目的探讨跖背动脉远端穿支蒂链型供血皮瓣修复足远端创面的可行性。方法 2004年1月~2009年4月,30例足远端创面采用跖背动脉远端穿支蒂链型供血皮瓣修复,男25例,女5例,年龄17~55岁。第1、2跖背动脉远端穿支蒂链型供血皮瓣17例,第3、4跖背动脉远端穿支蒂链型供血皮瓣13例。皮瓣大小为4cm×4cm^8cm×7cm。皮瓣蒂长3~6cm。皮瓣供区植皮。结果 29例皮瓣完全成活,1例远端2cm×1cm坏死,21例获随访,平均11个月。皮瓣色泽、质地、外形良好,皮瓣、供区无溃疡发生。结论跖背动脉远端穿支蒂链型供血皮瓣可修复足远端创面,手术方法简单、适用、可靠。
Objective To investigate the feasibility of repairing the wounds in the distal feet with dorsal metatarsal artery distal perforator pedicle link-pattern flaps. Methods Since January of 2004 to April of 2009, 30 patients with distal wounds in the feet underwent surgical wound repaire using by dorsal metatarsal arteries distal perforator pedicle link-pattern flaps. Seventeen patients used the 1, 2 dorsal metatarsal artery distal perforator flaps, and 13 had the 3, 4 dorsal metatarsal artery distal perforator flaps, with the flaps measuring 4 cm×4 cm to 8 cm×7cm and the flap pedicle ranged 3-6 cm in length. The donor sites were repaired with skin grafting. Results Twenty-nine flaps survived completely and l flap showed partial necrosis in the distant part （2.0 cm×1.0 cm）. Twenty-one patients were followed up for an average of 11 months, during which the color, texture, and contour of the flaps remained normal without ulcers in the donor sites or the flaps. Conclusion The wounds in the distal feet can be repaired by dorsal metatarsal artery distal perforator pedicle link-pattern flaps, which is a simple, applicable and safe nrocedure.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2010年第8期1835-1837,共3页
Journal of Southern Medical University
基金
贵州省卫生厅资助项目(2006D-251)
关键词
外科皮瓣
足损伤
修复外科手术
创面修复
链型皮瓣
surgic flaps
foot injuries
reconstructive surgical procedures
wound healing
link-pattern flaps
