[1]周兴,朱自强,谢久虎,等.游离腓肠内侧动脉穿支皮瓣修复前足软组织缺损[J].实用手外科杂志,2024,38(01):0.[doi:10.3969/j.issn.1671-2722.2024.01.005]
 ZHOU Xing,ZHU Ziqiang,XIE Jiuhu,et al.Repair of soft tissue defect of forefoot with free medial sural artery perforator flap[J].Journal of Practical Hand Surgery,2024,38(01):0.[doi:10.3969/j.issn.1671-2722.2024.01.005]
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游离腓肠内侧动脉穿支皮瓣修复前足软组织缺损
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
38
期数:
2024年01期
页码:
0
栏目:
出版日期:
2024-03-20

文章信息/Info

Title:
Repair of soft tissue defect of forefoot with free medial sural artery perforator flap
作者:
周兴 朱自强 谢久虎 郝宝辉 黄立
(徐州医科大学第二附属医院 手外科, 江苏 徐州 221000)
Author(s):
ZHOU Xing ZHU Ziqiang XIE Jiuhu et al (Department of Hand Surgery The Second Affiliated Hospital of Xuzhou Medical University Xuzhou Jiangsu 221000 China)
关键词:
关键词: 腓肠内侧动脉穿支皮瓣 修复 前足 软组织损伤
DOI:
10.3969/j.issn.1671-2722.2024.01.005
摘要:
摘 要:目的 探讨应用游离腓肠内侧动脉穿支皮瓣(MSAP)修复前足软组织缺损的临床疗效。方法 2019年5月-2022年5月,应用腓肠内侧动脉穿支皮瓣修复前足软组织缺损11例。一期行VSD覆盖,二期均行MSAP修复创面,皮瓣切取面积4.0 cm×7.0 cm~7.0 cm×10.0 cm。术后2周观察皮瓣成活情况,术后1个月、2个月、3个月、6个月及末次随访观察皮瓣外观、感觉、供区恢复及并发症发生情况。根据曼彻斯特-牛津足部调查问卷(MOXFQ)评价治疗效果。结果 11例MSAP均成活,1例出现静脉危象,探查后皮瓣成活。随访时间6~9个月,平均7个月,皮瓣外观良好,质地柔软,穿鞋满意,2例因皮瓣臃肿行皮瓣修整。5例感觉恢复至S3级,5例感觉恢复至S2级,1例感觉恢复至S1级。供区均直接缝合,伤口仅留线性瘢痕,无功能影响。结论 MSAP皮下脂肪薄,毛发少,外形美观,穿支较恒定,血管蒂长,供区可直接缝合,是修复前足软组织缺损较好的手术方式。

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更新日期/Last Update: 2024-03-20