非主干血管蒂皮瓣修复小腿、踝足部软组织缺损

【摘要】 目的总结非主干血管蒂皮瓣修复小腿、踝足部软组织缺损的临床疗效。方法回顾分析2001年12月～2008年6月采用非主干血管蒂皮瓣手术治疗小腿、踝足皮肤软组织缺损患者51例,其中男29例,女22例,年龄17岁～78岁,平均年龄33岁。分别采用腓肠肌肌皮瓣16例、比目鱼肌肌瓣5例、腓肠神经营养血管皮瓣20例、隐神经营养血管皮瓣3例、腓浅神经营养血管筋膜瓣2例、前踝上皮瓣2例、足底内侧皮瓣3例修复小腿、踝足部软组织缺损。结果51例全部得到随访,随访2周至6个月以上。47例皮瓣全部成活。1例腓肠肌内侧头肌皮瓣远端坏死5×4cm。1例前踝上皮瓣远端1/2坏死。1例腓肠神经营养血管皮瓣远端边缘坏死1.5cm,1例腓肠神经营养血管皮瓣远端边缘坏死2cm。结论非主干血管蒂皮瓣修复小腿、踝足部软组织缺损具有手术操作简单,皮瓣成活可靠,不损失肢体主要动脉,供区破坏少等优点。针对每个患者进行"个性化"皮瓣选择非常重要。更多还原

【Abstract】 Objective To research the operative methods and their clinical effects of the lower leg, ankle and the foot soft tissue defects with non-trunk blood vessel pedicled flaps. Methods From December 2000 to June 2008, 51cases of the lower leg, ankle and the foot soft tissue defects were treated with seven different kinds of non-trunk blood vessel pedicle flaps transplant. Results 47 flaps of 51 cases were completely survived, 1 case with gastrocnemius musculocutaneous flap necrosis 5×4cm, 3 cases with distal edge partially necrosis and healed after short time dressing change. Conclusion In order to achieve the desired results, it is important to grasp the surgical indications of various kinds of flaps and keys for the operation.更多还原