皮瓣修复足跟部软组织缺损疗效的研究  

The study of heel soft tissue defect reconstruction with flap

作　　者：章鸣[1] 郭翱[2] 刘升辉[2] 詹天驷[1] 

机构地区：[1]苏州大学附属第一医院骨科,江苏省苏州市215000 [2]浙江省台州骨伤医院手外科

出　　处：《中华显微外科杂志》2009年第6期458-460,共3页Chinese Journal of Microsurgery

摘　　要：目的探讨采用局部带蒂转移皮瓣或游离皮瓣对足跟软组织缺损修复的疗效。方法手术分期进行，一期行清创术，二期根据足跟软组织缺损的大小、部位及受伤的复杂性，综合分析选择治疗方法，分别选择局部带蒂转移皮瓣和游离皮瓣修复足跟缺损。结果31例术后经8～35个月随访（平均22个月），皮瓣全部成活；根据自行制定的评价体系综合评价得分，优8例，良12例，可8例，差3例，优良率为64．5％。结论综合评价供区和受区的解剖学基础，灵活运用选择皮瓣是足跟软组织缺损修复的关键；感觉功能重建是足跟软组织缺损修复重建的至关重要因素。Objective To report the results of heel soft tissue defect reconstruction with locoregional reverse pedicle flaps or free flaps. Methods Operations were carried out in two phases. The first operation was debridement. In the second operation, in order to make a choice between locoregional reverse pedicle flaps and free flaps, the consideration included an effective assessment which was composed by the size the location and the complexity of injuries of the defect heel. Results The flaps were survived and followed up from 8 to 35 months （mean 22 months）. 8 cases were graded excellent and 12 good as assessed with Criterion of heel reconstruction which was made by authors. Conclusion The key of the reconstruction of soft tissue defects is to make a good choice to the flaps in terms of the characteristic of the anatomy of defect area and donor site. It is one of important factors to reconstruct sensory function for the heel reconstruction.

关 键 词：足跟 重建 皮瓣 显微外科 

分 类 号：R658.3[医药卫生—外科学] R782.405[医药卫生—临床医学]