中文科技期刊数据库（全文版）医药卫生9胫后动脉皮瓣在前臂毁损伤保肢中的应用分析祝君张珊祝小林吴剑波张姚阁恩施华龙总医院骨外科，湖北恩施445000摘要：胫后动脉皮瓣修复上肢前臂复合组织缺损，2018年2月-2023年3月收治的15例肢体软组织缺损并长段主干血管缺损患者采用携带胫后动脉多穿支皮瓣，游离胫后动脉穿支皮瓣修复缺损创面，主干血管及大隐静脉修复肢体长段血管缺损重建肢体血运保肢。结果术后皮瓣均顺利成活，受区及供区创面均一期愈合，患肢恢复良好血液循环。13例均获得随访，随访时间6〜24个月（平均12个月）。所有患者患肢均未出现缺血性疼痛及肌肉萎缩，行血管彩超检查血管通血良好；皮瓣质地柔软，弹性可，患肢功能可。结论胫后动脉皮瓣可有效修复前臂创面，同时修复肢体主干血管长段缺损，重建患肢血运，是临床治疗严前臂肢体毁损伴肢体血运障碍保肢治疗的最佳方案之一。关键词：胫后动脉皮瓣；肢体毁损伤；保肢中图分类号：R782ApplicationofposteriortibialarteryflapinlimbpreservationwithforearmdamageZHUJunZHANGShanZHUXiaoLinWUJianboZHANGYaoGeOrthopedicsDepartmentofEnshiHualongGeneralHospital,HubeiEnshi445000Abstract:Theposteriortibialarteryflaprepairedlimbsofttissuewithlongtrunkvasculardefect.15patientswithlimbsofttissuedefectandlongtrunkvasculardefectadmittedfromFebruary2018toMarch2023usedtheposteriortibialarteryskinflaptorepairthewoundsurface,freeposteriortibialarteryandassociatedveinandlargesaphenousveintorepairlimbvasculardefects.ResultsAftertheoperation,theaffectedareaandsupplyareahealedsmoothly,andtheaffectedlimbrecoveredgoodbloodcirculation.All13patientswerefollowedupfor624months(mean12months).Noneoftheaffectedlimbshadischemicpainandmuscleatrophy,andthebloodflowwasgood;theflapwassoft,elastic,andthefunctionoftheaffectedlimbwasgood.ConclusionTheposteriortibialarteryflapcaneffectivelyrepairthewoundsurfaceoftheforearm,andreconstructthebloodcirculationoftheaffectedlimb.Itisoneoftheeffectivemethodsforlimbsalvagetreatmentforseriouslimbinjuries.Keywords:posteriortibialarteryflap;limbdestruction,injuryandlimbpreservation;;repairandreconstruction.前臂毁损伤是指前臂部位发生严重的组织损伤或破坏，可能涉及皮肤、肌肉、骨骼...
