前足皮肤缺损的皮瓣修复  

Repairing the skin defect of forefoot by flap

作　　者：张美英[1] 刘彬[1] 路来金[1] 

机构地区：[1]吉林大学白求恩第一医院手足外科,吉林长春130021

出　　处：《实用手外科杂志》2013年第2期136-138,共3页Journal of Practical Hand Surgery

摘　　要：目的总结不同类型皮瓣修复前足部皮肤缺损的疗效。方法根据前足皮肤缺损的部位，采用不同类型的外科皮瓣修复50例，其中交腿皮瓣2例，带蒂逆行岛状皮瓣20例，吻合血管的游离皮瓣28例。结果除3例带蒂逆行岛状皮瓣远端部分坏死，行植皮创面愈合外，其余皮瓣全部成活。创面一期愈合47例，二期愈合3例；术后皮瓣整形17例。随访6个月～2年，足部功能及外形恢复较满意。结论根据足部皮肤缺损的部位、面积大小及周围组织条件．选择不同娄型外科皮瓣修兔创面．可获得满意效果．Objective To summary the efficacy of different types of flap to repair forefoot skin defect. Methods According to the forefoot skin defect site, we applied the different types of surgical flap to repair soft tissue defects of forefoot 50 cases, cross leg skin flap in 2 cases, pedicled retrograde island flap in 20 cases, vascularized free flap in 28 cases. Results In addition to the distal part of the 3 cases pedicled retrograde island flap necrosis, healing of wounds after skin graft, the rest of the flaps survived, wound healed in stage Ⅰ was 47 cases, wound healed in stage Ⅱ was 3 cases. Flap postoperative orthopedic surgery was 17cases. Follow-up of 6 months to 2 years, foot function and shape recovery effect was more satisfactory. Conclusion According to the foot skin defect parts and the size of the defect area and surrounding tissue conditions, it should choose different types of surgical flap to repair wounds, and can obtain satisfactory results.

关 键 词：前足 皮肤缺损 外科皮瓣 显微外科技术 

分 类 号：R622.1[医药卫生—整形外科]