摘要
目的 探讨以胫后动脉皮支为蒂的逆行岛状皮瓣修复足部软组织缺损的临床应用效果和有关问题。方法 应用胫后动脉皮支为蒂的逆行岛状皮瓣修复足部软组织缺损。缺损面积为 3cm× 4cm～ 8cm× 12cm。设计的皮瓣面积为 4cm× 8cm～ 10cm× 13cm。结果 6例患者皮瓣全部成活 ,创面Ⅰ期愈合 ,1例患者皮瓣远端小部分坏死 ,经换药处理后 ,创面Ⅱ期愈合 ,术后随访患者 6～ 2 4个月 ,均取得满意效果。结论 胫后动脉皮支为蒂的逆行岛状皮瓣血供充分 ,蒂长 ,皮瓣切取面积大 。
Objective To investigate the clinical results of the medial island flap pedicled with the postrerior tibial artery cutaneous branch. Methods Seven cases with soft tissue defects were treated with distal pedicled island flap supplied with the cutaneous branch of the posterior tibial artery, the area of flaps ranged from 4?cm×8?cm to 10?cm×13?cm, the defect area was from 3?cm×4?cm to 8?cm×12?cm. Results All flaps were healed primarily, but in the distal parts of bigger flaps were partially necrostd in 1 cases, all cases were followed up from 6 to 24 months, all cases achieved satisfactory result. Conclusion Is an ileal 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.
