足底内侧神经血管蒂岛状皮瓣在足跟部瘢痕癌切除修复中的应用  

Applicication of island skin flap pedicled by medial plantar artery and nerve in repair of scar carcinoma on heel after burns injury

作　　者：舒巍[1] 周忠志[1] 陈丽[2] 肖宁[2] 

机构地区：[1]武警湖南省消防总队医院烧伤整形科,湖南长沙410008 [2]湖南中医药大学病理教研室

出　　处：《中国美容医学》2009年第11期1578-1579,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨足底内侧皮瓣修复足跟部瘢痕癌的方法及效果。方法:2003年6月以来,采用足底内侧皮瓣修复12例足跟部瘢痕癌创面,其中创面面积为2cm×3cm～6cm×10cm,皮瓣设计大小为3cm×5cm～7cm×12cm。结果:移植皮瓣全部成活,随访3个月～3年半,皮瓣血运、质地良好,外形不臃肿,供区愈合良好。结论:足底内侧动脉岛状皮瓣血供恒定,手术操作简单、安全,是修复足跟部创面的理想方法。Objective To investigate the methods and effects of island skin flap pedicled by medial plantar artery and nerve in repair of scar carcinoma on heel after burns injury. Methods Island skin flaps pedicled by medial plantar artery and nerve were used to repair the squamous cell carcinoma on heels in 12 cases. The area of skin flap was 3crux 5cm^7cmx12cm,the area of ulcerated wound was 2cmx3cmN6cmxl0cm. Results All the skin flaps were survived after operation. Cases were followed up from three months to three and half a year. The configuration and functions were satisfactory, and the donor sites healed well. Conclusions The medial plantar flap, which has reliable blood supply and could be transferred simply and safely, is an ideal method to repair the squamous cell carcinoma on heel after burns and injury.

关 键 词：足跟 瘢痕 鳞状细胞癌 足底内侧皮瓣 

分 类 号：R622[医药卫生—整形外科]