目的探討腘窩中間動脈蒂混合供血皮瓣的血供特點及修復兒童腘窩瘢痕攣縮松解后創(chuàng)面的可行性。 方法2008年1月－2010年10月，對6例腘窩瘢痕攣縮患兒行瘢痕松解、腘窩中間動脈蒂混合供血皮瓣移位修復。男2例，女4例；年齡2歲2個月～10歲。均為熱水燙傷。腘窩瘢痕攣縮松解后創(chuàng)面范圍5 cm × 4 cm～10 cm × 8 cm，皮瓣切取范圍6 cm × 4 cm～11 cm × 9 cm。供區(qū)直接縫合1例，游離植皮5例。 結果術后6例患兒皮瓣完全成活，無血管危象或皮瓣壞死發(fā)生。供、受區(qū)切口均Ⅰ期愈合，供區(qū)植皮均成活。術后患兒均獲隨訪，隨訪時間12～24個月，皮瓣色澤、質地、外形良好。1例患兒術后6個月腘窩手術切口出現較厚增生性瘢痕，膝關節(jié)活動范圍0～175°，隨訪15個月無明顯變化；余5例膝關節(jié)活動范圍0～180°，無跛行。 結論腘窩中間動脈蒂混合供血皮瓣血供可靠，手術操作簡便，修復兒童腘窩瘢痕攣縮松解后創(chuàng)面效果理想。
引用本文： 魏在榮,孫廣峰,唐修俊,鄧成亮,金文虎,王達利,王波. 腘窩中間動脈蒂混合供血皮瓣修復兒童腘窩瘢痕攣縮. 中國修復重建外科雜志, 2012, 26(8): 946-949. doi: 復制
| 1. | Uygur F, Duman H, Ulkür E, et al. Are reverse flow fasciocutaneous flaps an appropriate option for the reconstruction of severe postburn lower extremity contractures? Ann Plast Surg, 2008, 61(3): 319-324. |
| 2. | Motamed S, Hasanpoor SE, Moosavizadeh SM, et al. Treatment of flexion contractures following burns in extremities. Burns, 2006, 32(8): 1017-1021. |
| 3. | 魏在榮, 邵星, 謝月, 等. 腓腸肌內側頭穿支皮瓣對腘窩瘢痕創(chuàng)面的修復. 中華燒傷雜志, 2010, 26(4): 260-262. |
| 4. | 魯開化, 郭樹忠, 艾玉峰, 等. 燒傷后下肢嚴重瘢痕攣縮的治療. 中華燒傷雜志, 2004, 20(2): 69-71. |
| 5. | Goldberg DP, Kucan JO, Bash D. Reconstruction of the burned foot. Clin Plast Surg, 2000, 27(1): 145-161. |
| 6. | 王會軍, 張捷, 蔣永能, 等. 小腿后側皮瓣修復膝關節(jié)深度燙傷八例. 中華燒傷雜志, 2008, 24(1): 60. |
| 7. | 簡玉洛, 王曉, 張自清. 小腿后側筋膜皮瓣的臨床應用. 中華顯微外科雜志, 2004, 27(1): 56-57. |
| 8. | Del Piñal F, García-Bernal FJ, Delgado J. Is posttraumatic first web contracture avoidable? Prophylactic guidelines and treatment-oriented classication. Plast Reconstr Surg, 2004, 113(6): 1833-1860. |
| 9. | Grishkevich VM. The post-burn elbow medial exion scar contracture treatment with trapeze-ap plasty. Burns, 2009, 35(2): 280-287. |
| 10. | Eom JS, Sun SH, Hong JP. Use of the upper medial thigh perforator flap (gracilis perforator flap) for lower extremity reconstruction. Plast Reconstr Surg, 2011, 127(2): 731-737. |
| 11. | Stillaert FB, Casaer B, Roche N, et al. The inframammary extending lateral intercostal artery perforator flap for reconstruction of axillary contractures: a case report. J Plast Reconstr Aesthet Surg, 2008, 61(12): e7-11. |
| 12. | Yao Y, Liu Y, Zhou J, et al. The epidemiology of civilian inpatients’ burns in Chinese military hospitals, 2001-2007. Burns, 2011, 37(6): 1023-1032. |
| 13. | McGregor IA, Morgan G. Axial and random pattern flaps. Br J Plast Surg, 1973, 26(3): 202-213. |
| 14. | 張世民, 徐達傳, 顧玉東, 等. 鏈型皮瓣的血管基礎及臨床意義. 中國臨床解剖學雜志, 2004, 22(1): 13-16. |
| 15. | 魏在榮. 皮瓣命名方式探討. 中華損傷與修復雜志(電子版), 2011, 6(3): 9-11. |
| 16. | Saint-Cyr M, Wong C, Schaverien M, et al. The perforasome theory: Vascular anatomy and clinical implications. Plast Reconstr Surg, 2009, 124(5): 1529-1544. |
| 17. | Lecours C, Saint-Cyr M, Wong C, et al. Freestyle pedicle perforator flaps: clinical results and vascular anatomy. Plast Reconstr Surg, 2010, 126(5): 1589-1603. |
| 18. | 魏在榮, 孫廣峰, 唐修俊, 等. 脛后動脈穿支蒂小腿內后側網狀供血皮瓣修復足踝部巨大創(chuàng)面. 中華創(chuàng)傷雜志, 2010, 26(8): 734-736. |
| 19. | 陳世新, 吳東方, 丁茂超, 等. 穿支體區(qū)血管及其相互間吻合的3D可視化研究. 中國臨床解剖學雜志, 2011, 29(3): 237-242. |
| 20. | 魏在榮, 肖爾禪, 譚靜, 等. 脛后動脈內踝上穿支蒂網狀供血復合組織瓣修復跟后復合組織缺損. 中國修復重建外科雜志, 2010, 24(5): 635-636. |
| 21. | 魏在榮, 王甜甜, 稅蘭, 等. 第一掌背動脈蒂網狀供血分葉皮瓣修復拇示指不規(guī)則創(chuàng)面. 中國修復重建外科雜志, 2010, 24(1): 46-49. |
| 22. | Koymen R, Gulses A, Karakayli U, et al. Treatment of microstomia with commissuroplasties and semidynamic acrylic splints. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 107(4): 503-507. |
- 1. Uygur F, Duman H, Ulkür E, et al. Are reverse flow fasciocutaneous flaps an appropriate option for the reconstruction of severe postburn lower extremity contractures? Ann Plast Surg, 2008, 61(3): 319-324.
- 2. Motamed S, Hasanpoor SE, Moosavizadeh SM, et al. Treatment of flexion contractures following burns in extremities. Burns, 2006, 32(8): 1017-1021.
- 3. 魏在榮, 邵星, 謝月, 等. 腓腸肌內側頭穿支皮瓣對腘窩瘢痕創(chuàng)面的修復. 中華燒傷雜志, 2010, 26(4): 260-262.
- 4. 魯開化, 郭樹忠, 艾玉峰, 等. 燒傷后下肢嚴重瘢痕攣縮的治療. 中華燒傷雜志, 2004, 20(2): 69-71.
- 5. Goldberg DP, Kucan JO, Bash D. Reconstruction of the burned foot. Clin Plast Surg, 2000, 27(1): 145-161.
- 6. 王會軍, 張捷, 蔣永能, 等. 小腿后側皮瓣修復膝關節(jié)深度燙傷八例. 中華燒傷雜志, 2008, 24(1): 60.
- 7. 簡玉洛, 王曉, 張自清. 小腿后側筋膜皮瓣的臨床應用. 中華顯微外科雜志, 2004, 27(1): 56-57.
- 8. Del Piñal F, García-Bernal FJ, Delgado J. Is posttraumatic first web contracture avoidable? Prophylactic guidelines and treatment-oriented classication. Plast Reconstr Surg, 2004, 113(6): 1833-1860.
- 9. Grishkevich VM. The post-burn elbow medial exion scar contracture treatment with trapeze-ap plasty. Burns, 2009, 35(2): 280-287.
- 10. Eom JS, Sun SH, Hong JP. Use of the upper medial thigh perforator flap (gracilis perforator flap) for lower extremity reconstruction. Plast Reconstr Surg, 2011, 127(2): 731-737.
- 11. Stillaert FB, Casaer B, Roche N, et al. The inframammary extending lateral intercostal artery perforator flap for reconstruction of axillary contractures: a case report. J Plast Reconstr Aesthet Surg, 2008, 61(12): e7-11.
- 12. Yao Y, Liu Y, Zhou J, et al. The epidemiology of civilian inpatients’ burns in Chinese military hospitals, 2001-2007. Burns, 2011, 37(6): 1023-1032.
- 13. McGregor IA, Morgan G. Axial and random pattern flaps. Br J Plast Surg, 1973, 26(3): 202-213.
- 14. 張世民, 徐達傳, 顧玉東, 等. 鏈型皮瓣的血管基礎及臨床意義. 中國臨床解剖學雜志, 2004, 22(1): 13-16.
- 15. 魏在榮. 皮瓣命名方式探討. 中華損傷與修復雜志(電子版), 2011, 6(3): 9-11.
- 16. Saint-Cyr M, Wong C, Schaverien M, et al. The perforasome theory: Vascular anatomy and clinical implications. Plast Reconstr Surg, 2009, 124(5): 1529-1544.
- 17. Lecours C, Saint-Cyr M, Wong C, et al. Freestyle pedicle perforator flaps: clinical results and vascular anatomy. Plast Reconstr Surg, 2010, 126(5): 1589-1603.
- 18. 魏在榮, 孫廣峰, 唐修俊, 等. 脛后動脈穿支蒂小腿內后側網狀供血皮瓣修復足踝部巨大創(chuàng)面. 中華創(chuàng)傷雜志, 2010, 26(8): 734-736.
- 19. 陳世新, 吳東方, 丁茂超, 等. 穿支體區(qū)血管及其相互間吻合的3D可視化研究. 中國臨床解剖學雜志, 2011, 29(3): 237-242.
- 20. 魏在榮, 肖爾禪, 譚靜, 等. 脛后動脈內踝上穿支蒂網狀供血復合組織瓣修復跟后復合組織缺損. 中國修復重建外科雜志, 2010, 24(5): 635-636.
- 21. 魏在榮, 王甜甜, 稅蘭, 等. 第一掌背動脈蒂網狀供血分葉皮瓣修復拇示指不規(guī)則創(chuàng)面. 中國修復重建外科雜志, 2010, 24(1): 46-49.
- 22. Koymen R, Gulses A, Karakayli U, et al. Treatment of microstomia with commissuroplasties and semidynamic acrylic splints. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 107(4): 503-507.