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我们在行小腿内侧岛状皮瓣转移术时,发现胫后动脉内侧肌间隙皮动脉变异,报告如下。患者男性,21岁,因右足底外伤后瘢痕并溃疡一年,长期不愈,不能负重行走而入院。查体:一般状况好,右足底,第一、二跖骨头处见约7×4cm~2陈旧性瘢痕,形成溃疡。在硬膜外麻醉下行瘢痕切除,小腿内侧岛状皮瓣转移术,术中先于内踝上方解剖胫后动脉,沿胫后动脉向上至膝关节下12cm 处,仅见胫后动脉在内踝上5cm 处穿出一皮支,向后上方走行,且较细,直径约0.5mm,切开皮瓣后缘,将皮瓣翻起至胫骨内侧,见皮瓣内血管束细小,
We are in the medial leg flap island surgery, found that the medial malleolus artery gap muscle, the report is as follows. Male, 21 years old, suffered from scar and ulcer after traumatic right foot injury for one year, long-term unhealed, unable to walk with weight and admitted to hospital. Physical examination: the general condition is good, the right foot, first and second metatarsal head see about 7 × 4cm ~ 2 old scars, the formation of ulcers. Under epidural anesthesia, scar excision and medial island flap transfer of the lower leg were performed. The posterior tibial artery was dissected above the medial malleolus and 12 cm below the knee joint along the posterior tibial artery. Only the posterior tibial artery was found 5 cm above the medial malleolus Piercing a skin support, walking backwards and above, and the diameter of about 0.5mm, cut the trailing edge of the flap, the flap flipped to the medial tibia, see the flap vascular small,