足组织缺损的显微修复  

MICROSURGICAL RESTORATION OF FOOT TISSUE DEFECTS /

作　　者：蔡锦方[1] 孙宝国[1] 潘冀清[1] 李秉胜[1] 曹学成[1] 梁进[1] 张抒[1] 王源瑞[1] 

机构地区：[1]济南军区总医院创伤骨科

出　　处：《中国修复重建外科杂志》1997年第1期35-37,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：１９８４年～１９９４年共收治各种足部组织创伤缺损２３６例，均采用显微外科技术进行组织移植修复，其中单纯皮瓣移植修复１８７例，复合皮瓣移植修复４９例。吻合血管游离移植修复９７例，带血管蒂移位修复１３９例。４例前足缺损者用带肩胛骨的复合皮瓣移植修复，６例足跟严重缺损者用带血管的腓骨复合皮瓣移植修复。经１～１０年随访，皮瓣、复合皮瓣、移植或再植的骨骨各全部成活，愈合良好，足功能基本得到恢复，可行走、负重，１８６例恢复了原工作。认为，恢复足部结构完整与重建足跟。From 1984 to 1994, 236 different types of traumatic defects of foot were repaired by microsurgical tissue grafting. They included simple cutaneous flap in 187 and composite flap in 49. Among the 236 different tissue flaps, vascularized flap was used in 97 and pedicled flap in 139. The 4 fore foot and 6 heel defects were repaired by composite skeleted cutaneous grafts with scapula and vascularized febula respectively. After the follow up from 1 to 10 years, all the grafted tissues were survived and healed well. The functions were satisfactory, and 186 patients had resumed their original works. The key to good function following repair was to maintaion the integrity of foot structures and the sensation of the sole and heel.

关 键 词：足组织缺损 显微外科 修复术 

分 类 号：R658.305[医药卫生—外科学]