摘要
目的 探讨胫前、足、踝部的创伤及内固定术后导致皮肤软组织坏死和缺损创面应用穿支皮瓣修复的临床疗效.方法 2013年2月-2015年5月,共收治此类患者79例,经扩创及封闭负压引流（Vacuum Sealing Drainage,VSD）,创面新鲜,根据创面大小设计、解剖切取动脉穿支皮瓣覆盖创面.结果 79例皮瓣及植皮区全部成活,愈合良好.结论 腓动脉及胫后动脉穿支皮瓣,切取方便,创伤小,术后可早期活动,皮瓣成活率高,是修复胫前、足、踝部软组织缺损较为实用的皮瓣.
Objective To discuss the application of perforator flap to repair the soft tissue defect caused by pretibial, foot and ankle trauma and skin soft tissue necrosis and defects due to internal fixation surgery. Methods From February 2013 to May 2013, our department treated 79 cases, after wound debridement and VSD negative pressure drainage, the flesh wound was achieved, according to the size of the wound, design, resect the perforators flap to cover the wound. Results All 79 cases of skin flap and skin graft survived, healed well. Conclusion Peroneal artery and posterior tibial artery are easy to resect, have the character of small trauma early activity and high survival rate, are practial flap to repair soft tissue defect on pretibial, foot ankle area.
出处
《实用手外科杂志》
2016年第2期154-155,159,共3页
Journal of Practical Hand Surgery
关键词
动脉穿支皮瓣
VSD
胫前、
足、
踝部
显微修复
Arterial perforator flap
The VSD
Pretibial, foot and ankle
Microscopic repair
