应用交腿皮瓣移植修复小腿骨裸露创面  

The clinical application of cross-leg flaps for coverage of bone exposure on the leg

作　　者：刘向业[1] 匡新建[1] 

机构地区：[1]河南省南阳市中心医院整形烧伤科,南阳473009

出　　处：《中华整形外科杂志》2002年第6期346-347,共2页Chinese Journal of Plastic Surgery

摘　　要：目的　分析研究交腿皮瓣移植修复小腿骨裸露及缺血性溃疡创面临床效果。方法　应用交腿皮瓣移植修复组织缺损 2 3例 ,其中膝内侧隐动脉皮瓣 5例 ,腓肠肌肌皮瓣 12例 ,小腿筋膜皮瓣 6例。结果　本组全部病例移植的皮瓣均成活。感染最终得到控制 ,随访无复发 ,修复效果良好。结论　交腿皮瓣移植修复组织缺损 ,皮瓣色泽、质地良好 ,只要严格掌握手术适应证 ,就可获得良好效果。Objective To evaluate the cross-leg flap for repairing the soft tissue defect of the leg. Methods Twenty-tree patients with exposure wounds on the leg were selected for the treatment by using different kinds of the cross-leg flaps,including 5 in medial knee skin flap,12 in gastrocnemius myo-cutaneous flap and 6 in posterior calf fascial skin flap. Results The patients were successfully treated with the complete survival of the flaps. No infection occurred. The results were good with the long-term follow-ups. Conclusion The method of the cross-leg flap is a safe and good way for repairing the soft tissue defects of the leg with the advantages such as color and texture of the transplanted tissue to be matched the recipient well.

关 键 词：皮瓣移植 小腿骨裸露创面 交腿皮瓣 创面修复 手术方法 

分 类 号：R658.3[医药卫生—外科学]