【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,选择不同类型外科皮瓣修复创面,可获得满意效果。更多还原

【Abstract】 Objective To summary the efEcacy 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 20cases,vascularized free flap in 28 cases.Results In addition to the distal part of the 3 eases 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.更多还原