游离胫后动脉穿支皮瓣的解剖研究与临床应用

Anatomic Research and Clinical Application of Dissociated Perforator Flap in the Posterior Tibial Artery

目的探讨游离胫后动脉穿支皮瓣修复小面积皮肤软组织缺损的可行性以及临床疗效。方法随机选取本院2016年10月—2017年3月我院收入8例手足部皮肤软组织缺损患者作为本次观察对象,并予以患者游离胫后穿支皮瓣修复手术,并对所有患者愈合情况进行比较。结果其中I期愈合例数为7例,占比为87.5%,II期愈合例数为1例,占比12.5%,III期愈合人数为0例,占比为0.0%。结论针对临床上存在足背部损伤患者,予以游离胫后动脉穿支皮瓣修复手术,患者后期治愈情况良好,属于临床上一类理想修复手术。

Objective To discuss the clinical feasibility and efficacy of dissociated perforator fap in theposterior tibial artery to repair the small area of skin soft tissue defects. Methods 8 patients with hand-foot skin soft tissue defects treated in our hospitalfrom October 2016 to March 2017 was reviewed. All the patients received the repair with the dissociated perforator fap in the posterior tibial artery. The healing conditions were compared. Results There were 7 cured cases at stage I （87.5%）, one cured case at stage II （12.5%） and no cured cases at stage III （0.0%）. Conclusion For patients with foot skin soft tissue defects, the repair with the dissociated perforator fap in the posterior tibial artery can improve the healing conditions, whichis primarily recommended in clinical practice.