临床误诊误治2017，Vol.30Issue(10)：71-73,3.DOI:10.3969/j.issn.1002-3429.2017.10.024
胫后动脉穿支血管蒂螺旋桨皮瓣修复小腿下段创面术后皮瓣坏死原因剖析
Cause Analysis of Postoperative Flap Necrosis by Posterior Tibial Artery Perforator Pedicled Propeller Flap in Repair of Lower Leg Inferior Segment Wounds
摘要
Abstract
Objective To investigate causes of postoperative flap necrosis by posterior tibial artery perforator flap in repair of lower leg inferior segment wounds. Methods Condition of postoperative flap necrosis in 16 patients with lower leg inferior segment wounds treated with posterior tibial artery perforator flap, and causes of postoperative flap necrosis were ana-lyzed in order to summarize preventive measures. Results The 16 patients had postoperative flap necrosis in different degrees within 10 d after operation, but the pedicle was survived. Among the 16 patients, 8 patients were repaired with sural neurocu-taneous flap;4 patients were repaired with free anterolateral flap of uninjured side; 2 patients were treated with long-term change of dressing, and 2 patients underwent amputation of limbs because of intolerableness for long-term treatment. Conclu-sion Circulatory disorder is a major cause of postoperative flap necrosis after posterior tibial artery perforator flap repair, and postoperative survival rate of flap can be increased by removing fiber bundle around perforating vessels and making vascularized free length equal or more than 3 cm and rotation less than or equal to 180 degrees.关键词
胫后动脉/外科皮瓣/坏死Key words
Posterior tibial artery/Surgical flap/Necrosis分类
医药卫生引用本文复制引用
李文华,修玉才,万超,李焕龙..胫后动脉穿支血管蒂螺旋桨皮瓣修复小腿下段创面术后皮瓣坏死原因剖析[J].临床误诊误治,2017,30(10):71-73,3.基金项目
承德市科学技术研究与发展计划项目(20142077) （20142077）
