削薄腓浅动脉穿支皮瓣游离移植修复手部创面.pdfVIP

削薄腓浅动脉穿支皮瓣游离移植修复手部创面 1 2 1 1 3 3 杨晓东 ，刘杨武 ，杨锦 ，张根福 ，丁茂超 ，梅劲 (1.温州医学院附属义乌医院手足外科，义乌 322000；2.复旦大学附属华山医院 静安分院手外科，上海 200040；3.解剖学教研室，温州 325035) 【摘要】 目的 探讨削薄腓浅动脉穿支皮瓣游离移植修复手部创面的临床效 果。方法 2010 年 1 月～2012 年 12 月，应用削薄腓浅动脉穿支皮瓣游离移植修 复手部创面共 6 例，其中手掌侧创面 4 例，手背创面 2 例；缺损面积为 3.0 cm ×4.5cm～5.0 cm×8.0 cm，其中 2 例与受区桡动脉头静脉吻合，3 例与指总动 脉浅静脉吻合，1 例与尺动脉浅静脉吻合；4 例供区直接缝合，2 例供区创面部 分植皮修复。结果 本组6例皮瓣全部成活，未出现血管危象。随访3～12个月， 原缺损部位外形及功能恢复满意，供区外形功能无明显影响。结论 削薄腓浅动 脉穿支皮瓣血管解剖恒定，皮瓣质地好，厚薄适中，手术操作简便，供区破坏小， 是游离移植修复手部创面的新选择。 【关键词】腓浅动脉：穿支皮瓣；削薄；移植；显微外科；手部； Repair of Hand Soft Tissue Defect by Free Ultra-thin Superficial Peroneal Artery Perforator Flap Yang xiaodong , Liu yangwu ，Yang jing , et al. Hand and Foot Surgery , Yiwu Central Hospital , Wenzhou Medical College , Yiwu , Zhejiang , China . 322000 【Abstract 】 Objective To investigate the clinical effect of free ultra-thin superficial peroneal artery perforator flap for repairing the wound in hand. Methods From Jan 2010 to Dec 2012, 6 cases were treated with free ultra-thin superficial peroneal artery perforator flap for repairing the wound in hand, including 4 cases of volaris defects,2 cases of dorsal defect. The size of the wound ranged from 3.0 cm×4.5cm ～5.0 cm×8.0 cm. All cases anastomosis between the perforator flap pedicle and recipient vessels; including 2 cases anastomosis with radial artery,3 cases with digital artery, 1 cases with ulnar artery. 4 cases for direct suture, 2 cases of donor site repairing with skin graft. Results All of 6 cases were repaired successfully and no vascular crisis occurred, and clinical follow ups were performed after 3~12 months ，the results were satisfactory. Conclusions It is an effective method of repairing the wound in hand by free ultra-thin superfici