摘要
目的 探讨应用游离腹直肌瓣加中厚游离植皮修复小腿和足踝部软组织缺损的方法和疗效。 方法1998年 5月～ 2 0 0 2年 12月 ,采用以腹壁下动、静脉为蒂的一侧腹直肌瓣游离移植加中厚植皮修复 2例小腿、9例足踝部因外伤所致软组织缺损伴有骨、肌腱外露及骨髓炎患者。病程为 1个月～ 10年。缺损范围 3cm× 4 cm～ 8cm× 14 cm;切取腹直肌瓣 4 cm× 6 cm～ 8cm× 15 cm。 结果 术后 11例移植肌瓣均成活 ,8例创口 期愈合 ,3例移植中厚皮片坏死经再植皮后愈合。 11例术后获随访 6个月～ 4年 ,外形及功能良好。 结论 游离腹直肌瓣加中厚游离植皮修复小腿与足踝部软组织缺损具有血运好、抗感染力强和顺应性好等优点 ,可用于填充缺损及修复不规则创面 ,术后外形良好 ,克服了肌皮瓣肥厚臃肿的缺点。
Objective To study the method and effect of free rectus abdominis muscle flaps with intermediate split thickness skin graft in repairing defects on legs and ankles.Methods From May 1998 to December 2002, 11 cases of defects on legs(2 cases) and on ankles( 9 cases) were repaired by use of unilateral free rectus abdominis flap with skin graft. The soft tissue defects were accompanied by osteomyelitis or the exposure of bone or tendon. The disease course was 1 month to 10 years. The defect size ranged 3 cm×4 cm to 8 cm×14 cm. The area of rectus abdominis muscle flaps was 4 cm×6 cm to 8 cm×15 cm. Results All patients were followed up 6 months to 4 years after operation. All rectus abdominis flaps survived with good appearances and functions. The primary healing was achieved in 8 cases, intermediate split thickness skin graft necrosed in 3 cases and the wound healed after skin re-graft.Conclusion Free rectus abdominis flap is a proper option for repair of the soft tissue defects or irregular wounds on legs and ankles. It has the advantages of abundant blood supply, strong anti-infection ability, good compliance and satisfied appearance.
出处
《中国修复重建外科杂志》
CAS
CSCD
2004年第3期192-194,共3页
Chinese Journal of Reparative and Reconstructive Surgery
基金
广东省重点科技攻关计划项目 (2 KM0 50 0 1 5)~~
关键词
游离腹直肌瓣
植皮
修复
小腿
足踝部
软组织缺损
Free rectus abdominis muscle flap transplant Leg Ankle Soft tissue defects Reconstruction
