摘要
目的探讨游离腓肠内侧动脉穿支皮瓣修复甲瓣供区的方法和疗效。方法 2013年1月-2017年9月,采用腓肠内侧动脉穿支皮瓣游离移植修复甲瓣供区15例,切取面积为4.2 cm×3.5 cm^9.0 cm×5.0 cm,小腿皮瓣供区直接间断缝合。结果术后14例皮瓣全部成活,1例皮瓣出现皮缘部分坏死,予换药等处理后伤口愈合。随访3~6个月,皮瓣色泽接近健趾,质地柔软,外观饱满,无压迫性溃疡,行走、跑步无明显受限。结论应用腓肠内侧动脉穿支皮瓣游离移植修复甲瓣供区,能较好地保留趾的外观和功能,而且不牺牲主要血管,切取简单、方便,供区仅留一线形瘢痕,是一种行之有效的方法,有利于患者早期康复。
Objective To discuss the method and effect of the free medial sural artery perforator flap for the repair of the wrap-around flap donor skin defect. Methods From January 2013 to September 2017, we used the free medial sural artery perforator flap to repair the skin defect of the wrap-around flap donor area in 15 patients, the cutting area was 4.2 cm×3.5 cm^9.0 cm×5.0 cm. Discontinuously sutured the donor area of flap. Results Fourteen cases survived, 1 case of the edge of the flap had necrosis, through dressing, the wound healed. Followed-up from 3 to 6 months, the flaps were soft, elastic, appearance was satisfactory, and the color approached normal, without ulcers. The function was excellent. Conclusion Using the free medial sural artery perforator flap to repair the skin defect of the wrap- around flap donor area, preferably preserve the appearance and function of the toe, without sacrificing the main blood vessels, is simple and convenient, only remain a linear scar, is an ideal method for repairing toenail flap donor area wound.
作者
袁海平
王红胜
袁勇
崔剑华
樊川
吴孙东
YUAN Haiping;WANG Hongsheng;YUAN Yong(The Third Department of Surgery,Dongfeng People＇s Hospital of Zhongshan,Zhongshan,Guangdong,528425,China)
出处
《实用手外科杂志》
2018年第3期315-317,共3页
Journal of Practical Hand Surgery
关键词
穿支皮瓣
坶甲瓣
修复
显微外科
Perforator flap
Toenail flap
Repair
Microsurgery
作者简介
袁海平（1980-），男，副主任医师。
