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小腿内侧逆行筋胰岛状皮瓣修复足部软组织缺损

Repair of Soft Tissue Defect on Foot with Island-shaped Fascial Flap of Medial Crural
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摘要 目的:探讨小腿内侧皮瓣在修复足部软组织缺损方面的应用.方法:设计应用小腿内侧逆行筋膜岛状皮瓣修复足部软组织缺损15例.其中,男11例,女4例;缺损原因:电烧伤3例,皮肤肿瘤2例,慢性溃疡7例,化学烧伤2例,热压伤1例.结果:15例病例皮瓣全部成活。足外形、感觉及行走的稳定性均恢复良好。结论:小腿内侧逆行岛状皮瓣与足部皮肤组织类似,血运及神经支配有保证,成活率高;蒂部较长,操作简便;特别适用于足跟及底部软组织缺损的修复。 Objective: To research the result of defect repairing on foot with island-shaped fascial skin flap of medial crural. Methods: 15 cases of soft tissue defeCt caused by tumor, chronic ulcer, chemical burn, hot pressure injury and electric burn were treated by transfer of island-shaped fascial skin flap of medial crural. Results: All flaps of patients were survived and all cases were followed up from 6-24 months. The sensation of the flap of 12 cases of all recovered. Conclusions: For the characteristics of foot skin, the transfer of island-shaped fascial skin flap of medial crural might have following advantages: similar structure of skin, reliable nerve and blood supply, simple operative techniques, large area of donor and suitable for repairing soft tissue defect on foot.
出处 《伤残医学杂志》 2000年第2期5-7,共3页 Medical Journal of Trauma and Disability
关键词 小腿内侧 筋膜皮瓣 软组织缺损 Foot Medial crural Fascial flap
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参考文献5

  • 1吴其常 赵书哲 吕德芳 等.胫后动脉逆行岛状皮瓣在足部创伤中的应用[J].中华骨科杂志,1988,7:196-196.
  • 2廖忠林.小腿内侧皮瓣移植术44例报告[J].中华显微外科杂志,1988,11:149-149.
  • 3张善才.小腿内侧游离皮瓣的临床应用[J].中华外科杂志,1983,21:743-743.
  • 4HaertschPA.The blood supply to the skin of the leg : A postmorten investigation Br J Plast Surg, 1981, 34: 470
  • 5衡代忠,郑长福,姚一民,章兴灿.小腿内侧逆行窄筋膜血管蒂皮瓣的临床应用[J].中华整形烧伤外科杂志,1991,7(3):184-188. 被引量:4

二级参考文献3

  • 1钟世镇,显微外科解剖学,1984年
  • 2张善才,中华外科杂志,1983年,21卷,743页
  • 3陈绍宗,中华外科杂志,1985年,23卷,658页

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