【摘要】 目的 探討應用足底內側動脈穿支蒂皮瓣修復足跟皮膚缺損的臨床應用。 方法 1998年9月-2009年3月，應用此皮瓣修復足跟皮膚軟組織缺損42例。術前對創面作充分準備，術中以術前彩色多普勒超聲探測的足底內側血管及穿支走向為軸心，根據需要設計皮瓣，沿皮瓣兩側向中間顯露，在踇展肌與趾短屈肌之間解剖出足底內側血管主干，顯露動脈穿支及伴行神經。將血管向近端分離獲得足夠長度后，掀起皮瓣，切取完成并將皮瓣行明道轉移修復創面。 結果 除2例術后4 d出現皮瓣遠端部分壞死，經換藥后愈合，其余40例皮瓣均全部成活。 結論 足底內側動脈穿支蒂皮瓣是修復足跟軟組織缺損的一種理想皮瓣。
【Abstract】 Objective To study the clinical application of perforator artery flap of medial plantar in repairing skin defect of the heelstick. Methods From September 1998 to March 2009, skin defects of the heelstick of 42 patients were repaired with the perforator artery flap of medial plantar. Adequate preparations were given on the wound before operation. Based on the results of color Doppler ultrasound of the medial plantar vascellum before or during the operation, the flap was designed according to the size of the defect and transferred to repair the defect. Results All the flaps survived completely except two flaps were partial lynecrotic in the distal, which healed after change of dressing. Conclusion Perforating artery flap of medial plantar is an ideal way to repair skin defect of the heelstick.
引用本文： 杜麗平,游曉波,張家建. 足底內側動脈穿支蒂皮瓣的臨床應用. 華西醫學, 2010, 25(7): 1218-1219. doi: 復制