| 蓝益南,蔡晓斌,李健,吴凌峰,江洵,刘舜平,刘丰,毛幸.穿支血管蒂裸化促进动脉穿支螺旋桨皮瓣存活的临床应用[J].浙江中西医结合杂志,2021,31(9): |
| 穿支血管蒂裸化促进动脉穿支螺旋桨皮瓣存活的临床应用 |
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| 投稿时间：2020-12-12 修订日期：2021-06-19 |
| DOI： |
| 中文关键词: 螺旋桨皮瓣 血管蒂裸化 |
| 英文关键词: |
| 基金项目:浙江省医药卫生科技计划项目(NO.2018KY186) |
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| 中文摘要: |
| 目的 探讨穿支血管蒂裸化对动脉穿支螺旋桨皮瓣存活的影响。方法 回顾性分析2015年1月至2019年12月，我院使用穿支血管蒂裸化的动脉穿支螺旋桨皮瓣，修复并获随访的7例小腿远端及足踝部软组织缺损患者，其中男5例，女2例；年龄35～70岁，平均52岁；3例为外伤，4例为慢性溃疡；创面软组织缺损面积6cmx5cm～15cmx8cm；皮瓣面积为8cmx8cm～21cmx10cm；病程 7天～1.5年；其中3例采用腓动脉穿支螺旋桨皮瓣，4例采用胫后动脉穿支螺旋桨皮瓣。结果 术后所有皮瓣存活良好，7例皮瓣供区均行游离植皮，无一例发生并发症，术后皮瓣随访时间为1～6月，皮瓣蒂部平整，修复外形满意。结论 穿支血管蒂裸化能促进动脉穿支螺旋桨皮瓣存活，且皮瓣修复后外形美观，手术操作相对简单，无需显微血管吻合，安全有效，适用于小腿远端及足踝部软组织缺损的治疗。 |
| 英文摘要: |
| Objective To investigate the effect of perforator pedicle basting on the survival of propeller flap.Methods From January 2015 to December 2019, 7 patients with soft tissue defects of distal leg and ankle were repaired and followed up with propeller flap pedicled with perforated artery pedicle, including 5 males and 2 females.The age ranged from 35 to 70, with an average age of 52；3 cases were traumatic and 4 cases were chronic ulcer.The soft tissue defect area of the wound was 6cmx5cm-15cmx8cm.The flap area was 8cmx8cm -12cmx8cm.The course of disease was 7 days - 1.5 years.Among them, peroneal artery perforator propeller flap was used in 3 cases and posterior tibial artery perforator propeller flap was used in 4 cases.Results All the flaps survived well after ultrasound localization. All the flaps had free skin grafts in the donor area of 7 cases without venous crisis. All the flaps were followed up for 1-6 months after the operation, the pedicle of the flap was smooth and the shape of the flap was satisfactory.Conclusion the perforator vascular pedicle naked propeller flap survived well, and the operation was relatively simple, without microvascular anastomosis. It was safe and effective, and suitable for the treatment of soft tissue defects in the distal leg and ankle. |
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