收稿日期: 2018-04-11
网络出版日期: 2018-12-29
基金资助
嘉兴市科技局立项课题（2014AY21035-2）
Clinical application of free descending genicular artery perforator flap for coverage of soft tissue defect of foot
Received date: 2018-04-11
Online published: 2018-12-29
鲍晶晶 , 姜磊 , 黄显军 , 潘志军 . 游离膝降动脉穿支皮瓣在足部软组织缺损中的应用[J]. 中国临床解剖学杂志, 2018 , 36(6) : 694 -696 . DOI: 10.13418/j.issn.1001-165x.2018.06.019
Objective To summarize the method and clinical efficacy of using the descending genicular artery perforator flap for resurfacing foot wounds. Methods The descending genicular artery perforator flap was adopted for coverage of soft-tissue defects over the foot in 8 cases between Mar, 2014 to Dec, 2016. The area of the skin flap ranged from 7.0cm×9.0 cm to 9.0 cm×20.0 cm, The perforator flaps included the genicular artery perforator flap in 5 cases, and the musculocutaneous perforator flap in 3 cases. Result In the 8 cases of clinical application, all flap survived uneventfully. Patients were followed up 3 to 10 months with an average of 8 months. The appearance, texture, and colour of the flaps were similar to those of the donor site. Conclusions The descending genicular artery perforator flap, being consistent in perforator location, moderate in vascular caliber, appropriate in skin thickness, is an effective method to repair the soft-tissue defects of the hand and foot.
Key words： Foot injury; Surgical flap; Perforator flap; Descending genicular artery
[1] 张功林，葛宝丰. 腓肠内侧动脉穿支皮瓣临床应用进展[J]. 实用骨科杂志, 2010, 16(10):721-723.
[2] Winkel R, Tajsic N, Husum H, et al. Saphenous perforator flap[J]. Oper Orthop Traumatol, 2013, 25(2):152-161.
[3] 张全荣，芮永军，薛明宇，等. 不同构制的皮瓣修复儿童足部和踝部皮肤软组织缺损[J]. 实用手外科杂志, 2011, 25(2): 91-93.
[4] 周广良, 巨积辉, 蒋国栋, 等. 膝降动脉穿支皮瓣修复肢体创面的临床应用[J]. 中国临床解剖学杂志, 2016, 34(6): 693-696.
[5] 左强, 王鸣. 运用膝降动脉髌下支为蒂胫骨骨瓣修复股骨远端骨不连的应用解剖及临床疗效[J]. 南京医科大学学报(自然科学版), 2016, 36(12):1522-1524.
[6] 陈莹. 胫后动脉穿支皮瓣修复足部创面的临床应用[J].浙江医学, 2016, 38(11): 878-879.
[7] 陈强. 腓肠神经营养血管逆行岛状皮瓣修复足部创面的临床应用[J].浙江医学, 2007, 29(6): 595-596.
[8] 寿建国, 王诗波, 王鹏飞. 游离腓肠内侧动脉穿支皮瓣修复足部组织缺损[J]. 实用骨科杂志, 2015, 21(7):651-653.
[9] 穆广态, 李晓林, 康志学, 等. 腹壁下动脉穿支皮瓣游离移植修复四肢创面(附9例报告)[J]. 解剖与临床, 2007，12(4):271-273.
[10]高建明，徐达传，陈振光, 等. 吻合血管大收肌腱复合组织瓣移植修复跟腱缺损的应用解剖[J]. 中国临床解剖学杂志，2000，18(2):102-104.
[11]郑健雄, 卓灵剑, 胡稷杰, 等. 膝降动脉穿支皮瓣的临床应用及解剖研究进展[J]. 中华创伤骨科杂志, 2017, 19(9): 817-821.
[12]周广良，巨积辉，蒋国栋．膝降动脉穿支皮瓣修复肢体创面的临床应用[J]. 中国临床解剖学杂志，2016，34 (6): 693-696.
[13]胡稷杰, 金丹, 王钢, 等. 不携带大隐静脉的游离膝降动脉穿支皮瓣修复肢体末端组织缺损[J]. 中华骨科杂志, 2015, 35(8):842-848.
[14]李宏伟, 廖湘波, 梁正忠, 等.低位小腿带蒂皮瓣修复前足软组织缺损[J]. 昆明医科大学学报, 2016, 37(9):135-138.
[15]黄磊, 胡德庆, 王田佺, 等. 穿支蒂足背中间皮神经营养血管皮瓣的解剖基础[J]. 中国临床解剖学杂志, 2016, 34(6): 601-604.
[16]唐举玉, 魏在荣, 张世民, 等. 穿支皮瓣的临床应用原则专家共识[J]. 中国临床解剖学杂志, 2016, 34(1): 4-5.
/
| 〈 |
|
〉 |
京ICP备08002354号-3
