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腓肠浅动脉供血的岛状筋膜皮瓣急诊修复下肢皮肤软组织缺损

[Emergency repair of skin and soft tissue defects of lower limbs with island fasciocutaneous flap supplied by superficial sural artery].

作者信息

Wu Zhongqiang, Guan Zhiguang

机构信息

Department of Plastic Surgery, Gaozhou People's Hospital, Gaozhou Guangdong, 525200, PR China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Jul;18(4):307-8.

Abstract

OBJECTIVE

To find a better method of emergency repair of skin and soft tissue defects in the lower leg, ankle and foot.

METHODS

The distally based superficial sural artery flap was designed on the posterior aspect of the leg. From February 2000 to December 2003, 18 patients with skin and soft tissue detects of the lower leg, ankle and foot were treated with island fasciocutaneous flap supplied by superficial sural artery by emergency. The size of the flap ranged form 4 cm x 5 cm to 11 cm x 12 cm.

RESULTS

The flaps survived totally in 16 cases and necrosed partially in 2 cases. After 1-2 year postoperative follow-up, the results were satisfactory except that in 2 flaps.

CONCLUSION

The island fasciocutaneous flap supplied by superficial sural artery may provide a useful method for emergency repair of soft tissue defect of the lower limbs.

摘要

目的

探寻一种更好的小腿、踝关节及足部皮肤软组织缺损的急诊修复方法。

方法

在小腿后侧设计以远端为蒂的腓肠浅动脉皮瓣。2000年2月至2003年12月,对18例小腿、踝关节及足部皮肤软组织缺损患者行急诊腓肠浅动脉供血的岛状筋膜皮瓣修复。皮瓣大小为4cm×5cm至11cm×12cm。

结果

16例皮瓣完全成活,2例部分坏死。术后随访1至2年,除2例皮瓣外,效果满意。

结论

腓肠浅动脉供血的岛状筋膜皮瓣可为下肢软组织缺损的急诊修复提供一种有效方法。

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