摘要
应用改进的桥式吻合血管背阔肌穿支皮瓣移植方法,修复5例小腿软组织缺损。皮瓣切取连带肩胛下与旋肩胛血管,与健侧小腿胫后动脉行端端吻合。皮瓣全部成活,术后随访8个月~3.5年(平均2.7年),无明显的供区功能障碍。健侧小腿经临床观察与Doppler检查,胫后动脉通畅。此术式适宜修复伤肢软组织缺损仅有1条主要动脉者,行桥式游离皮瓣移植保存了对侧肢体胫后动脉通畅。
From September 2006 to January 2008, 5 patients with soft tissue defect of the leg underwent reconstruction with the improved bridge anastomosis vascular latissimus dorsi muscle perforator flaps transplantation. The latissimus dorsi muscle perforator flaps was elevated with subscapular and circumflex scapular vessels. The vascular pedicle of the latissimus dorsi muscle perforator flaps were anastomosed to the two vascular ends of the posterior tibial artery of contralateral leg by end-to-end anastomosis. The flaps survived completely after transplantation. Patients were followed up for 8 months - 3.5 years (mean 2. 7 years) postoperatively. There was no remarkable donor site morbidity, Doppler exanfination showed the pateney of the posterior tibial artery of contralateral legs. This technique is particularly useful in leg reconstructive surgery when only one vessel remains. The patency of the posterior tibial artery of contralateral leg is preserved in transplantation of the bridge free flap.
出处
《中华全科医师杂志》
2010年第3期196-197,共2页
Chinese Journal of General Practitioners
关键词
修复外科手术
皮肤移植
Reconstructive surgical procedures
Skine transplantation