【摘要】 目的 :探索应用健侧胫后血管皮瓣蒂桥式携带背阔肌皮瓣游离移植修复对侧小腿严重毁损伤所致大面积皮肤软组织、骨缺损或外露 ,免除截肢所造成重大残废。方法 :临床治疗 14例 ,切取 12cm× 18cm -2 4cm× 38cm背阔肌皮瓣 ,通过暂借健侧胫后血管桥式携带修复小腿巨大缺损 ,断蒂时同时修复健侧胫后动脉。结果 :14例暂借桥式背阔肌皮瓣全部成功 ,3例皮瓣轻度感染 ,1例皮瓣下血肿 ,经及时处理均一期愈合。随访 1～ 8年 ,肌皮瓣外观饱满 ,质地均匀。远端肢体供血明显改善 ,最大限度的恢复功能 ,避免截肢残废。结论 :对于小腿巨大软组织骨缺损外露 ,应用暂借对侧胫后血管桥式携带背阔肌皮瓣移植修复是一种行之有效的好方法更多还原

【Abstract】 Objective: To study and resolve the reconstruction of serious defects in lge using tibialis posterior cross bridge transplantation of dorsi myocutaneous flap.Methods:?By measuring 12 cm×18 cm～24 cm×38 cm dorsi myocutancous flap and using tibialis posterior cross bridge to reconstrust strangulated destructive injury in leg.Results:?In 14 cases,using tibialis posterior vessels as cross bridgeto transplant dorsi myocutaneous flaps was succeeded,three of the 14 cases were mild infectious,only one of 14 blooded under the flap buthealed after treatment.The patients were given 1 to 8 years follow up,also,microsurgery repairing of composite defects of leg had relatively shorter recovery period and good results.Conclusion:?Using cross bridge dorsi myocutaneous flapstransplantation to reconstrust serious injury in leg maybe a better method of treatment and achieving satisfied results.更多还原