带蒂轴型皮瓣修复踝周皮肤软组织缺损:病例报道与策略分析  

Axial pattern pedicled flaps in the repair of ankle soft tissue defects:case report and strategy analysis

作　　者：丁汉文 陈勇[1] 王倩[1] 王慜 袁斯明 DING Hanwen;CHEN Yong;WANG Qian;WANG Min;YUAN Siming(Department of Plastic Surgery,Jinling Hospital,Nanjing Medical University,Nanjing 210002,China)

机构地区：[1]南京医科大学附属金陵医院(中国人民解放军东部战区总医院)烧伤整形科,江苏省南京市210002

出　　处：《组织工程与重建外科》2023年第3期253-257,共5页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的观察应用不同带蒂轴型皮瓣修复踝周皮肤软组织缺损的临床效果。方法2017年1月至2020年12月,对我科收治的22例踝周皮肤软组织缺损患者,分别应用4种带蒂轴型皮瓣进行修复,其中足底内侧皮瓣13例、腓肠神经营养皮瓣2例、足背皮瓣5例、外踝上穿支皮瓣2例。皮瓣切取面积3 cm×3 cm~10 cm×5 cm。供瓣区直接拉拢缝合或植皮修复。结果所有皮瓣和供瓣区移植皮片均成活。术后随访6~24个月,皮瓣外观满意,质地柔软,有保护性感觉。结论根据踝周皮肤软组织缺损的具体情况,结合不同带蒂轴型皮瓣特点进行优化选择,能获得预期效果。Objective To investigate the clinical effect of different axial pattern pedicled flaps in the repair of ankle soft tissue defects.Methods From January 2017 to December 2020,four types of axial pattern pedicled flaps were used to repair ankle soft tissue defects in 22 patients.There were 13 medial plantar flaps,2 sural neurofasciocutaneous flaps,5 dorsal foot skin flap and 2 supra-ankle perforator flaps used in reconstruction.The flap size ranged from 3.0 cm×3.0 cm to 10.0 cm×5.0 cm.The donor sites were sutured directly or covered with skin graft.Results All flaps and donor flap grafts survived well.Patients were followed up for 6-24 months.Flaps had good appearance,soft texture and protective sensation.Conclusion According to the specific situation of the skin soft tissue defect around the ankle,combined with the characteristics of various pedicled axial flaps,the optimal selection can achieve expected effect.

关 键 词：带蒂轴型皮瓣 软组织缺损 踝周重建 

分 类 号：R622[医药卫生—整形外科]