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带蒂足底内侧动脉穿支皮瓣转移修复足跟功能区微小创面体会* |
Experience of medial plantar artery pedicled perforator flap to repair the heel function area of tiny wound* |
投稿时间:2016-10-21 修订日期:2016-10-25 |
DOI: |
中文关键词: 足底内侧动脉穿支皮瓣 足跟 软组织缺损 |
英文关键词: Medial plantar artery perforator flap Heel Soft tissue defect |
基金项目:国家临床重点专科基金,国卫办医函[2013]544. |
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中文摘要: |
【】目的 探讨带蒂足底内侧动脉穿支皮瓣转移修复足跟功能区微小创面的临床效果 方法 自2012年1月至2015年12月我科收治的足跟软组织缺损病人17例,男12例,女5例,致伤原因:车祸伤8例,机器绞伤4例,锐器伤3例,电击伤2例,年龄12~55岁,平均27岁,清创后创面面积最大为6cm×5cm,最小为3cm×2.5cm。临床均采用足底内侧动脉穿支皮瓣带蒂转移修复,供瓣区植皮修复。 结果 术后随访6~24个月,17例皮瓣完全存活,未发生皮瓣血管危象,供瓣区皮片移植均一期存活。皮瓣感觉恢复良好,两点辨别觉6~9mm,平均7mm ,术后患者穿鞋无疼痛不适,行走正常,无溃疡发生,效果满意。结论 足底内侧动脉穿支皮瓣供区隐蔽,血供可靠,对供区损伤较小,转移修复后可恢复良好的皮瓣感觉,是修复足跟功能区微小创面的理想组织瓣之一。 |
英文摘要: |
Objective To investigate the clinical effect of the medial plantar artery pedicled perforator flap to repair the heel tiny wound. Methods The retrospective analysis of 2012 January 2015 December heel soft tissue defect (n = 17)17, which 12 cases were male, and 5 females,The causes of injury: 8 cases of traffic accident injury, 4 cases of machinery injury, 3 cases of sharp injury, electric injury in 2 cases.age 12 ~ 55 years old, with an average of 27 years; The biggest wound area after debridement is 6cm * 5cm, the smallest is 3cm * 2.5cm.Clinical application of medial plantar artery pedicled perforator flap to repair heel soft tissue defect. The donor area covered with grafting. Results The patients were followed up for 6-24 months, 17 flaps survived completely, without the occurrence of vascular crisis of flap, donor area skin graft all survival. The sensation of the flap was good, and the two points discrimination was 6 to 9mm, with an average of 7mm.Postoperative patients wear shoes without extrusion or pain, normal walking, no ulcer, the result was satisfactory.Conclusion Medial plantar artery pedicled perforator flap’s donor site is concealed, reliable blood supply, the body less injury, transferred to repair can restore good flap sensation. It is one of the ideal area of tissue valve to repair the heel tiny wound . |
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