摘要
目的:探讨第一足趾胫侧趾底动脉逆行岛状皮瓣修复第一足趾远端软组织缺损的临床效果。方法:根据第一足趾远端软组织缺损的情况,对16例此类患者采用第一足趾胫侧趾底动脉逆行岛状皮瓣修复。通过随访观察第一足趾外形、功能恢复情况,了解临床疗效,总结优缺点。结果:术后随访6～12个月,平均9.5个月。16例皮瓣全部成活,修复后拇趾远端外观尚好,趾端无明显触痛,功能恢复满意。结论:第一足趾胫侧趾底动脉逆行岛状皮瓣具有血管蒂相对较为恒定,皮瓣供受区距离较近,转移方便,手术操作容易,是修复第一足趾远端软组织缺损的较好方法。
Objective：To study the treatment outcome of the tibial plantar digital artery reversed island flap for repair of soft tissue defect at the distal thumb of the first toes. Methods：According to the defect of soft tissue of the first toes, the tibial plantar digital artery reversed island flap were applied by transplantation 16 cases, observing the restoration of the injured toes appearance and function, finding out the clinical effect and concluding the advantages and disadvantages by following up. Result： All flaps survived in 16 cases. The appearances and function were satisfactory over a period of follow - up between 6 moths and 12 moths. Conclusion： The tibial plantar digital artery reversed island flap which have so many advantages, it has constant pedicle, the donor site is close to the defect, operation is relatively easy. It is a good method for repair of soft tissue defect of the distal thumb of the first toes.
关键词
趾底动脉
逆行岛状皮瓣
软组织缺损
tibial plantar digital artery soft tissue defect reverse island flap
