腓动脉皮支与腓肠神经联合远端蒂皮瓣修复小儿足踝部皮肤缺损的临床分析

《腓动脉皮支与腓肠神经联合远端蒂皮瓣修复小儿足踝部皮肤缺损的临床分析》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、中文摘要评定受区)。结果：2例面积较大的皮瓣远端小面积坏死，经换药后伤口愈合；3例面积较大的皮瓣分别于术后第一或第二天皮瓣远端出现静脉危象，皮瓣远端创缘颜色紫红色并有水泡形成，及时对症治疗后，皮瓣完全成活，余皮瓣全部存活。经5个月到2年随访，平均7个月，皮瓣外观良好。结论：1联合远端蒂皮瓣在皮支近端将腓动脉切断，虽然牺牲了腓动脉远端，但是不必过多剥离近端深部的腓动脉主干，避免了损伤患者深部组织。2同时由于联合远端蒂皮瓣拥有两套血供系统，扩大了皮瓣的血供范围，可以修复足踝部中远端部分的皮肤缺损，修复范围大，特别适应d,JD大面积的足踝部皮肤缺损3皮瓣内的腓肠神经

2、，与足踝部皮神经显微吻合，可以恢复部分小儿足踝部皮肤感觉恢复。4联合远端蒂皮瓣设计简单，不必暴露过多主干血管，且外形较美观，不臃肿，适合基层医院开展。关键词：腓动脉皮支；腓肠神经；岛状皮瓣；移植；显微外科手术英文摘要Treatmentofkidfootsofttissuedefectwithreverseflapwithculbranchoffibulaarterycombine,ithsuralcutaneousbranchbulararterycornnewitIISnranervenutritionalvesselaxialABSTRACTobjecti

3、ve：Toinvestigatetheclinicalefficiencyofkidfootsofttissuedefectwithreverseflapwithcutaneousbranchoffibulararterycombinewithsuralnervenutfitionalvesselaxial．Toobservetheclinicalresultoftherepairofkidskindefectofthefrontofthefoot，thelowerleg，andtheanklewiththereverseflapwithcutaneousbr

4、anchoffibulararterycombinewithsuralnervenutritionalvesselaxialinmedifferentzonation．Accordingtothepositionandsizeofthesofttissuedefects．thesuralnervenutritionalvesselflapcombinewiththecutaneousbranchoftheperonealarteryweredesingnedandobtainedtorepairthesofttissuedefectsofthefoot．and

5、followupthehealingofflapandthefunctionoftheaffectedlimbofpatientsinordertoofferthetheorybasisandthenewclinicaltreatmentinthekidfootsofttissuedefect．Methods：Firstly,thelengthofmalleoluslateralistocalcanealwasdividedintothreezonationsequally．Accordingtothedifferentzonationofthereverse

6、flapwithcutaneousbranchoffibulararterycombinewithsuralnervenutritionalvesselaxial，thepatientsweredividedintothreegroups．cutaneousbranchoffibulararterygeneralhave4—8branches．including3biggestbranchescalleddownsidetheCaputfibulaeabout9cm，15cm，20cm．whichcomeontoskin．nleoriginaldiameter

7、ofvesseliSabout0．6—1．Omm，lengthofvesselintomuscleiSabout4．5cm．inthisareabothcutaneousbranchoffibulararteryandsuralnervenutritionalvesselaxialhavemuchcross-oveTbranches．whichalsohaverichbloodsupplyment．Itisaboutupsidemalleoluslateralis2．15cm．wedividethisareainto3partswhichcalledup，mi

8、ddle，dowm一3areas．Ag