摘要
目的探讨足外侧筋膜岛状皮瓣修复足跟缺损的治疗效果。方法应用足外侧筋膜岛状皮瓣移位修复的方法，对１２例外伤、慢性溃疡、慢性骨髓炎、鳞癌及冷冻坏死所致足跟软组织缺损进行修复。结果本组１２例，仅２例部分皮缘早期坏死，经换药后愈合，皮瓣全部成活。１２例患者均获得随访，时间为８个月～６年６个月，鳞癌未复发，骨髓炎术后无死骨及窦道形成，创面感觉恢复，皮瓣质地近似正常，足功能改善。结论由于足跟部皮肤的特殊性，就近选用足外侧筋膜岛状皮瓣修复足跟缺损，具有组织类似、血运及神经支配可靠、手术方法较简便、切取面积广泛等优点。
Objective To research the result of defect repairing on heel with island shaped fascial flap of lateral foot.Methods Twelve cases of soft tissue defected on heel, who were resulted from trauma, chronic ulcer, chronic osteomyelitis, squamous carcinoma, and necrosis following frozen injury, were treated by transfer of island shaped fasical flap of lateral foot. Results Only 2 patients suffered marginal necrosis of flap in early stage and healed after changing dressing. The others succeeded completely. All the cases were followed up for 8 to 78 months. There was no recurrence of squamous carcinoma, no fistula or necrosis bone formed. The sensation of the flap recovered. The repaired area was similar to the heel in skin texture.Conclusion For the characteristics of heel skin, the transfer of island shaped fascial flap of lateral foot has the following advantages: Similar structure of skin, reliable nerve and blood supply, simple operative techniques, and large area of donor flap.
出处
《中国修复重建外科杂志》
CAS
CSCD
1999年第3期167-169,共3页
Chinese Journal of Reparative and Reconstructive Surgery
