腓动脉和胫后动脉穿支筋膜皮瓣修复足部软组织缺损的效果

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Abstract Objective To investigate the clinical effect of peroneal artery and poster-or tibial artery perforator fascial flaps used for repairing foot defects.Methods Twenty-six cases of foot defects were treated with peroneal artery or posterior tibial artery perforator fascial flaps. The wound areas ranged from 4 cm×5 cm to 12 cm×15 cm after debridement. Fifteen of these wounds were repaired with peroneal artery perforator fascial flaps, and the rest were repaired with posterior tibial artery perforator fascial flaps. The areas of fascial flaps ranged from 6 cm×7 cm to 15 cm×18 cm.Results All the flaps survived and the wounds healed by first intention. The functions of the feet proved satisfactory after follow-up of 6 months to two years, and the flaps were working well.Conclusions The appearance and function of feet with soft tissue defects can be restored with peroneal artery and posterior tibial artery perforator fascial flaps in the early stage of the disease.

Key words： peroneal artery posterior tibial artery perforator fascial flap repair foot

Received: 26 May 2021

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	ZHANG Xiaoqi
	XU Xuebing
	SHI Changqian
	SI Ying
	HOU Yushan
	CHEN Dongmei
	TANG Yifu

Cite this article:

ZHANG Xiaoqi,XU Xuebing,SHI Changqian等. Clinical efficacy of repairing foot defects using peroneal artery and posterior tibial artery perforator fascial flaps[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(9): 743-746.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I9/743

[1]	张天浩,王之江,林涧,等. 足踝部创面皮瓣修复的研究进展[J].中华创伤杂志,2017,33(12):1144-1147.
[2]	Boyden E M,Kitaoka H B,Cahalan T D,et al.Late versus early repair of achilles tendon rupture:clinical and biomechanical evaluation[J]. Clin Orthop Relat Res,1995,317:150-158.
[3]	庄蕾,黎晓华,丁宝志,等. 皮神经营养血管皮瓣修复37 例足踝部软组织缺损 [J].中华显微外科杂志,2017,40(4):381-383.
[4]	赖青鸿,张友来,辛国华. 烧伤早期创面加深机制与防治措施的研究进展 [J]. 中华烧伤杂志,2019,35(3):229-232.
[5]	王春华,方林森,余又新,等. 组织瓣修复下肢深度创面的效果及功能康复分析 [J]. 中华烧伤杂志,2015,31(4):297-300.
[6]	王剑,云文科,吴胜吉,等. 封闭负压引流治疗四肢开放性骨折合并皮肤缺损67例临床体会 [J]. 武警后勤学院学报(医学版),2013,22(3):222-224.
[7]	张晓启,栾涛,侯雨杉,等. Ⅳ期褥疮综合治疗的方法与效果 [J].武警医学,2021,32(3):209-212.
[8]	杨彪,王珊,张岩,等. 负压创面治疗技术联合富血小板血浆治疗慢性难愈性创面:加速创面的再上皮化及愈合率 [J].中国组织工程研究,2019,23(26):4181-4186.
[9]	王爽,李小兵,樊军,等. 负压封闭对口引流治疗糖尿病足合并蜂窝织炎的临床效果 [J].中华烧伤杂志,2018,34(1):47-50.
[10]	农明善,陈凯宁,罗柳宁,等. 不同类型皮瓣在足踝部软组织缺损的修复应用 [J].创伤外科杂志,2019,21(4):244-247.
[11]	周洪翔,周涛,马明明,等. 不同皮瓣修复足跟软组织缺损的疗效分析 [J]. 中华创伤杂志,2017,33(8):750-755.
[12]	林涧,王之江,张天浩,等. 穿支蒂筋膜皮瓣移位修复老年踝关节周围皮肤软组织缺损[J].中华创伤杂志,2018,34(10):892-897.
[13]	Zhang Y X,Hayakawa T J,Levin L S,et al. The economy in autologous tissue transfer:part 1,the kiss flap technique [J]. Plast Reconstr Surg,2016,137(3):1018-1030.
[14]	朱跃良,梅良斌,吕乾,等. 足踝软组织重建的皮瓣选择策略:14种皮瓣226例分析 [J].中华显微外科杂志,2014,37(3):242-245.
[15]	刘文剑,杨立文,胡招兵,等. 胫后动脉皮支筋膜皮瓣修复足跟后部软组织缺损 [J].武警医学,2016,27(7):684-686.
[16]	刘文剑,付建华. 筋膜皮瓣临床应用进展 [J].武警医学,2012,23(4):351-353.
[17]	钟世镇,徐永清,周长满,等. 皮神经营养血管皮瓣解剖基础和命名 [J]. 中华显微外科杂志,1999,22(1):37-39.
[18]	张永忠,沈国良,赵小瑜,等. 邻近筋膜皮瓣修复胫前区骨或钢板外露小创面的临床效果 [J].中华烧伤杂志,2018,34(12):907-909.
[19]	吴连俊,王慧明. 术前血管定位技术在穿支皮瓣中的应用进展[J].华西口腔医学杂志,2017,35(6):659-662.
[20]	莫勇军,杨克勤,谭海涛,等. CTA 联合彩色多普勒超声检测在股前外侧穿支皮瓣中的应用[J].中华显微外科杂志,2018,41(1):68-71.

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