胫后动脉穿支皮瓣修复足背足跟部软组织缺损临床效果分析.docVIP

胫后动脉穿支皮瓣修复足背足跟部软组织缺损临床效果分析 　　摘 要：目的 探究胫后动脉穿支皮瓣修复足背足跟部软组织缺损的临床应用效果。方法 以本院2016年6月～2017年6月收治的足背足跟部软组织缺损患者16例作为研究对象，其中足跟部软组织缺损5例，足背软组织缺损11例，?o予所有患者胫后动脉穿支皮瓣修复治疗，术后随访3个月，观察临床治疗效果。结果 术后观察，本组16例患者皮瓣修复均成活，创面愈合较好，血液循环正常，并且缺损修复效果较理想。结论 胫后动脉穿支皮瓣修复足背足跟部软组织缺损，皮瓣能够大部分存活，且手术方法简单方便，修复效果显著。 　　关键词：胫后动脉;穿支皮瓣;软组织缺损 　　中图分类号：R622.1 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.05.069 　　文章编号：1006-1959（2018）05-0184-03 　　Clinical Effect of Posterior Peroneal Artery Perforator Flap for Repair of Soft Tissue Defects in the Dorsal Heel 　　LU Xing-cheng，LU Xiang-quan，WEN Xing-xing，WU Bing-hua，HUANG Jia，XIONG Zhe-cheng 　　（Department of Surgery，One Subjects，Dongxiang Third Hospital，Dongxiang 331800，Jiangxi，China） 　　Abstract：Objective To explore the clinical effect of the posterior tibial artery perforator flap to repair the soft tissue defects of the heel of the foot.Methods In our hospital in June 2016～2017 year in June from the ministry of the back heel soft tissue defects in 16 patients as the research object，including 5 cases of heel soft tissue defect of dorsal foot soft tissue defect in 11 cases，all patients were given posterior tibial artery perforator flap for treatment，postoperative follow-up of 3 months，to observe the clinical therapeutic effect.Results After operation，the skin flap repair in 16 cases of the group survived，the wound healing was better， the blood circulation was normal，and the repair effect of the defect was ideal.Conclusion The posterior tibial artery perforator flap can repair the soft tissue defect of the dorsum pedis of the foot.Most of the flaps survived，and the operation method is simple and convenient，and the repair effect is remarkable. 　　Key words：Posterior tibial artery;Perforator flap;Soft tissue defect 　　社会经济的快速发展，机动车辆逐渐增多，由车祸而导致的足部损伤也日益增多。而足背或足跟发生损伤通常会造成皮肤以及软组织缺损，并且还会伴有不同程度的肌腱、跟腱等深部组织暴露[1]。而由于足背和足跟软组织较少、供血不足，无论是修复能力还是抗感染能力相对较差，因此要实现对创面的修复相对困难。胫后动脉穿支皮瓣修复足背足跟从1986年提出以来，经过长时间的探索与研究，该