逆行胫后动脉岛状皮瓣修复足踝部皮肤软组织严重缺损(附13例分析)

The reparation of the foot defects with pedicled island flap of posterior tibial artery:Analysis of 13 cases

目的探讨以胫后动脉逆行岛状皮瓣修复足踝部皮肤软组织严重缺损的临床应用效果,尤其是胫后血管在内踝水平以远毁损后仍能实施该手术的情况。方法以胫后动脉逆行岛状皮瓣修复足踝部皮肤软组织严重缺损;移植皮瓣设计面积为4cm×9cm～10cm×20cm。结果本组中的12例患者术后皮瓣全部成活,创面Ⅰ期愈合;1例患者皮瓣远端小部分坏死,换药处理后,创面Ⅱ期愈合,术后随访6～24个月,均取得满意效果。结论胫后动脉逆行岛状皮瓣血供充分,皮瓣切取面积大,是修复足踝部皮肤软组织严重缺损的理想皮瓣,胫后血管在内踝水平以远毁损后仍可以修复足底。

Objective To investigate the clinical results of the medial island flap pedicled with the postrerior tibial artery. Methods Thirteen cases with soft tissue defects were treated with distal pedicled island flap of the posterior tibial artery, the area of flaps ranged from 4 cm× 9 cm to 10 cm×20 cm. Results All flaps were healed primarily, but in the distal parts of bigger flaps were partially necrostd in 1 case, all cases were followed up from 6 to 24 months, all cases achieved satisfactory result. Conclusion Is an ideal method for repairing the large soft tissus defect on foot, because it has such advantages as big enough vascular diameter, long pedicle and big dermatomic area.