The Distally Based Superficial Sural Artery Flap-Clinical Experiences

遠端性表淺腓腸動脈皮瓣的臨床經驗

李俊達(Jiunn-Tat Lee) ； 孫宗伯(Tzong-Bor Sun) ； 鄭立福(Li-Fu Cheng) ； 王健興(Chien-Hsin Wang) ； 黃介琦(Chieh-Chi Huang) ； 簡守信(Sou-Hsin Chien) ； 陳明庭(Ming-Ting Chen)

《中華民國整形外科醫學會雜誌》 11卷4期 (2002/12) Pp. 231-238

https://doi.org/10.7096/JPSA.200212.0231

摘要

遠端性表淺腓腸動脈皮瓣是一種帶血管莖的靜脈神經皮膚性的皮瓣，它逆流的基礎是經由正中表淺腓腸動脈和腓骨動脈來的最下面的穿透枝之間的吻合。我們有十三病例經驗用這塊皮瓣來重建小腿遠端和足踝的軟組織缺損。有兩例部份及一例全部皮瓣壞死，其餘十例皮瓣存活良好。供皮區的併發症包括一例部份皮膚移植喪失及一例傷口裂開。沒有病人抱怨腳部的感覺異常。這個皮瓣的優點有：穩定的血流供應，皮瓣的拆舉容易而迅速，不犧牲主要的動脈和極低的供皮區的罹病率。為了要確保皮瓣有最大的血流供應以及減少併發症的發生，手術技術要做一些改良。

並列摘要

The distally based superficial artery flap is a veno-neurocutaneous pedicle flap based on reverse flow through the anastomosis between the median superficial sural artery and the lowermost perforator from the peroneal artery. We had thirdteen cases experience in using this flap for reconstructing soft tissue defects over distal lower leg and ankle. Two partial and one total flap necrosis was noted and the other ten flaps survived well. Donor site complications included one partial loss of skin graft and one wound dehiscence. The average follow-up was 32 months. No patient complained of sensory disturbance in foot in the follow-up study. This flap has the advantages of reliable blood supply, easy and quick in elevation, no sacrifice of major arteries and minimal donor site morbidity. Disadvantages of this flap include: temporary hypesthesia at the lateral foot and unsightly_donor site scar. Some technique refinements must be made to ensure maximal blood supply of the flap and decrease the incidence of complications.

並列關鍵字

distally based superficial sural artery flap ； neurocutaneous flap ； veno-neurocutaneous flap