腹壁下血管腹直肌瓣移植加游离植皮修复足部及小腿软组织缺损  

Repairing of leg and foot defects using free rectus abdominis muscle flaps pedicled with inferior epigastric vessels and skingrafting

作　　者：胡波[1] 杨述华[2] 王大平[1] 刘黎军[1] 尤微[1] 

机构地区：[1]深圳市第二人民医院创伤骨科,深圳518030 [2]华中科技大学同济医学院附属协和医院骨科,武汉430071

出　　处：《中国临床解剖学杂志》2008年第1期99-100,104,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的:探讨应用游离腹壁下动脉肌瓣加中厚游离植皮修复小腿和足部软组织缺损的方法和疗效。方法:2001年5月～2006年1月,采用一侧腹壁下动脉肌瓣游离移植加中厚植皮修复足部软组织缺损伴有骨、肌腱外露及骨髓炎患者,部位分别为:小腿4例、足踝、足背、足跟部8例。结果:术后12例移植肌瓣及植皮区全部成活,术后随访6个月～1年,外形及功能良好。结论:游离腹壁下动脉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供丰富、抗感染力强和顺应性好,术后外形美观等优点,是修复下肢软组织缺损,尤其是并伴感染创面的理想方法。Objective： To study the method and effects of free rectus abdominis muscle flaps and intermediate split thickness skin graft on repairing defects of/egs and foots, Methods： From May 2001 to January 2006, 12 cases of leg （4 cases） and foot defects （8 cases） were repaired using unilateral flee rectus abdominis flap and skin graft, For all cases, soft tissue defects were accompanied with osteomyelitis or the exposure of bone or tendon. Results： All patients were followed up 6 months to l year after operation. Rectus abdominis flaps survived well with good appearances and functions. Conclusions： Free rectus abdominis flap is a proper option for repairing soft tissue defects or irregular wounds on legs and foots. It has the advantages of abundant blood supply, strong anti-infection ability, good compliance and satisfied appearance. It is an ideal method to repair soft tissue defects of leg and foot.

关 键 词：腹壁下动脉 肌瓣移植 游离植皮 足 软组织缺损 修复 

分 类 号：R616.6[医药卫生—外科学] R628[医药卫生—临床医学]