腓肠外侧浅动脉穿支皮瓣在手部创面修复中的临床应用

摘要

Objective To investigate the clinical efficacy of superficial lateral sural artery perforator flap for hand reconstruction.Methods From March,2012 to April,2015,15 superficial lateral sural artery perforator flaps were planned for hand reconstruction.Of all cases,11 cases were male,4 cases were female,age ranged from 21 to 51 years old,with average age of 38.2 years.The skin defects ranged from 1.5 cm × 3.5 cm to 5.0 cm × 6.5 cm.Superficial lateral sural artery perforator flap were harvested uneventfully in 12 cases,the flaps were converted to superficial medial sural artery perforator flap in 3 cases.The flap size ranged from 1.8 cm × 3.8 cm to 5.5 cm × 6.5 cm.All reconstructive surgeries were performed secondarily.Results All of 15 flaps survived well,all donor sites were closed directly.During a mean follow-up of 9 months,the flaps were thin and pliable,none of the patients needed secondary flap thinning.The appearance of donor site was satisfactory,no patients complained about functional restrictions.Conclusion The superficial lateral sural artery perforator flap is feasible for reconstruction of middle-sized defects of the hand.%目的 探讨腓肠外侧浅动脉穿支皮瓣修复手部创面的临床应用及效果. 方法 2012年3月至2015年4月,计划应用腓肠外侧浅动脉穿支皮瓣修复手部创面15例;男11例,女4例;年龄21～51岁,平均38.2岁.手部皮肤缺损面积1.5 cm×3.5 cm ～ 5.0 cm×6.5 cm.实际应用腓肠外侧浅动脉穿支皮瓣顺利12例,术中修改成腓肠内侧浅动脉穿支皮瓣3例.皮瓣大小:1.8 cm× 3.8 cm ～ 5.5 cm×6.5 cm,所有病例均为二期修复. 结果 本组皮瓣成活良好,所有皮瓣供区均能直接缝合.平均9个月随访显示,皮瓣质地柔软,厚度薄,无需二期修薄;皮瓣供区形态良好,功能无明显影响. 结论 腓肠外侧浅动脉穿支皮瓣是修复手部中小创面的有效方法.