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胫前动脉皮瓣逆行转移修复前足皮肤缺损 被引量:10

Reverse anterior tibial artery flap for the repair of foot skin defect
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摘要 目的 探讨胫前动脉皮瓣逆行转移修复前足皮肤缺损的可行性。方法 以胫前动脉皮支穿出点为中心的逆行皮瓣修复前足皮肤缺损,胫前供区直接缝合或用腹股沟全厚皮打包植皮。结果 7例胫前动脉皮瓣及植皮全部成活。6例随访2~24个月,平均16个月,皮瓣无明显臃肿,色泽良好,外形满意。结论 胫前动脉皮瓣逆行转移修复前足缺损可行,取材方便、操作安全。 Objective To investigate the feasibility of clinical use of reverse anterior tibial artery flap for the repair of foot skin defect. Methods With the perforating branch of the anterior tibial artery as turning point, a reverse flap was utilized to repair the foot skin defect. The donor site was directly sutured or covered by full - thickness skin grafting. Results The flap and skin graft survived in all the 7 patients. Follow-up observations for 2 - 24 months (mean, 16 months) in 6 patients showed normal color, texture, and appearance of flaps. Conclusions The reverse anterior tibial artery flap can be used for the construction of foot skin defect, with advantages of simple performance and good safety.
出处 《中国微创外科杂志》 CSCD 2007年第7期636-637,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 胫前动脉 皮瓣 皮肤缺损 Anterior tibial artery Flap Foot Skin defect
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参考文献6

  • 1蔡锦芳,丁自海,陈中伟,主编.显微足外科学.济南:山东科技出版社,2002.345-347.
  • 2Recalde-Rocha JF,Gilbert A,Masquelet A,et al.The anterior tibial artery flap:anatomic study and clinical application.Plast Recontr Surg,1987,79:396-406.
  • 3徐永清,徐达传,钟世镇,石瑾,李忠华.踝足部血管吻合支的研究与吻合胫前或胫后动脉逆行皮瓣的设计[J].中国临床解剖学杂志,2001,19(2):111-112. 被引量:20
  • 4Dong JS,Peng,YP,Zhang YX,et al.Reverse anterior tibial artery flap for reconstruction of foot donor site.Plast Reconstr Surg,2003,112:1604-1612.
  • 5Yildirim S,Akan M,Akoz T.Soft-tissue reconstruction of the foot with distally based neurocutaneous flapsin diabetic patients.Ann Plast Surg,2002,48(3):258-264.
  • 6Jeng SF,Wei,FC.Distally based sural Island flap for foot and ankle reconstruction.Plast Reconstr Surg,1997,99(3):744-750.

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