逆行跗外侧动脉皮瓣修复前足皮肤软组织缺损的临床疗效观察.pdfVIP

《中国医学创新》第 12 卷 第 4 期（总第 322 期）2015 年 2月　　 ① ① ① ① ① 刘根就 　陈泽群 　王荣春 　银春景 　陈拓 　　 探究与分析逆行跗外侧动脉皮瓣修复前足皮肤软组织缺损的临床疗效观察。 回顾性 分析本院 2012 年 5 月 -2014 年 5 月收治的 15 例前足皮肤软组织缺损患者的临床资料，观察该组患者行逆行跗 外侧动脉皮瓣修复的手术方法及临床疗效情况。本组患者共 15 例，于术后 1 周时间内有 3 例患者出现 的皮缘部分坏死，占 20.00% ，经及时换药后，皮瓣得以成活，12 例患者的皮瓣均顺利成活，未出现坏死情况， 占 80.00%。术后患者均获得为期 7~22 个月的随访 ，平均随访时间为 14.5 个月。在随访期间对患者的皮瓣成活 情况进行观察，发现该组患者的皮瓣质地柔软，保持与周围组织一致的色泽，且未出现磨损，对正常生活质量 未造成影响。 逆行跗外侧动脉皮瓣修复前足皮肤软组织缺损可取得显著效果，其优点在于皮瓣厚度适中， 且抗磨损能力较强，血管解剖位置固定，管径粗大有利于充分供血，值得进一步研究与推广。 　　 　逆行跗外侧动脉皮瓣；　修复；　前足皮肤软组织缺损；　疗效 　　 To explore and analyze the clinical efficacy of the outer retrograde tarsal artery flap of skin and soft tissue defects of the foot. Retrospectively to analyze the clinical data of forefoot skin and soft tissue defects with 15 cases treated in our hospital from May 2012 to May 2014， observe surgical method underwent lateral retrograde tarsal artery flap and explore clinical efficacy of the situation. There were three cases in 15 patients with skin flap necrosis after one week of time， accounting for 20.00%.After timely medication， the flap survived.12 patients were successfully flap survival， without necrosis， accounting for 80.00%.Patients had received for a period of 7-22 months of follow-up， and average follow-up time was 14.5 months.During follow-up， the patients with flap survival conditions were observed and found that the group of patients were with soft flap to keep the color consistent with the surrounding tissue， and no signs of wear， with normal quality of life. Retrograde lateral tarsal artery flap of skin and soft tissue defects can be enough to achieve significant result.The advantage is that the flap thickness is moderate， with strong wear res