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