足底内侧动脉分支蒂皮瓣的临床研究.pdfVIP

·临床研究· 足底内侧动脉分支蒂皮瓣的临床研究 柴益民 马心赤 陈世强 林崇正王快胜 陈汉东 陈彦垄 【摘要】 目的探讨以足底内侧动脉分支为蒂皮瓣的设计及临床应用效果。 方法 在解剖基 础上以足底内侧动脉及其分支为血管蒂，设计足内侧皮瓣、足底内侧皮瓣、联合皮瓣及双叶皮瓣顺、逆 行转位或游离移植修复53例手足部皮肤缺损创面。 结果 临床应用53例，51例皮瓣完全成活。45 例术后随访6～24个月，皮瓣质地优良，手、足外形与功能改善满意。 结论该类皮瓣切取方便，血 供可靠，厚薄适中，外形佳，是修复手、足部皮肤缺损的理想选择。双叶皮瓣及逆行皮瓣为临床提供了 实用性的新方法。 【关键词】外科皮瓣；移植；手；足；足内侧动脉；显微外科 CUIlical ofseries basedonthemedial anditscutaneousbranches applicationflaps artery plantar CHAI Yi—rain，MAXin—chi，CHENShi—qiang，L1NCong—zheng，WANGKuai—sheng，CHENHan—dong，CHEN Sixth 57031 Yah—kun．DepartmentofOrthopaedics，ThePeople’SHospitalofShanghai，Shanghai1，China To the andclinical ofseries withthe pedicle 【Abstract】Objectiveexploredesign applicationflaps the medial anditscutaneousbranches．MethodsBasedon anatomical plantarartery studies，seriesflaps includethemedialisisland island combinedandthebifoliated with pedis flap，instepfalp，the flap flappedicle themedial anditscutaneousbrancheswere or basedisland plantar proximallydistally artery designed，the andfree were to 53caseswith andsofttissuedefectsofthehandandfoot． flaps flaps usedresurfacing skin ResultsTheseseries were in53 1 survived colourand cases，5 completely．The flaps appliedclinically flaps months textureofthe were outlineandfunctionalresultswere after6—24 follow flaps excellent，the satisfactory