中华创伤骨科杂志
中華創傷骨科雜誌
중화창상골과잡지
CHINESE JOURNAL OF ORTHOPAEDIC TRAUMA
2010年
8期
761-765
,共5页
杨晓东%刘杨武%杨锦%丁建波%楼旭鹏%张根福
楊曉東%劉楊武%楊錦%丁建波%樓旭鵬%張根福
양효동%류양무%양금%정건파%루욱붕%장근복
足损伤%外科皮瓣%皮肤移植
足損傷%外科皮瓣%皮膚移植
족손상%외과피판%피부이식
Foot injuries%Surgical flaps%Skin transplantation
目的 探讨应用穿支皮瓣游离移植修复足部创面缺损的临床疗效.方法 2006年3月至2009年12月,应用下肢4种穿支皮瓣游离移植修复20例足部创面缺损患者,男15例,女5例;年龄18～61岁,平均28.5岁;左侧7例,右侧13例.缺损创面部位:足背12例,足跟足底部5例,足踝部3例;创面大小为2.0 cm×3.5 cm～12.0 cm×18.0 cm.皮瓣选择:股前外侧穿支皮瓣5例,股前内侧穿支皮瓣7例,腓浅动脉穿支皮瓣5例,腓动脉穿支皮瓣3例. 结果 本组20例患者皮瓣全部成活,术中2例患者出现血管危象,经及时处理后血运恢复.20例患者术后获3～6个月(平均5.2个月)随访,皮瓣质地、外观均良好,其中13例吻合皮神经恢复了保护性感觉,供区愈合可,功能无影响.结论 应用穿支皮瓣游离移植修复足部创面缺损,临床效果满意,是修复此类创面的较理想选择.
目的 探討應用穿支皮瓣遊離移植脩複足部創麵缺損的臨床療效.方法 2006年3月至2009年12月,應用下肢4種穿支皮瓣遊離移植脩複20例足部創麵缺損患者,男15例,女5例;年齡18～61歲,平均28.5歲;左側7例,右側13例.缺損創麵部位:足揹12例,足跟足底部5例,足踝部3例;創麵大小為2.0 cm×3.5 cm～12.0 cm×18.0 cm.皮瓣選擇:股前外側穿支皮瓣5例,股前內側穿支皮瓣7例,腓淺動脈穿支皮瓣5例,腓動脈穿支皮瓣3例. 結果 本組20例患者皮瓣全部成活,術中2例患者齣現血管危象,經及時處理後血運恢複.20例患者術後穫3～6箇月(平均5.2箇月)隨訪,皮瓣質地、外觀均良好,其中13例吻閤皮神經恢複瞭保護性感覺,供區愈閤可,功能無影響.結論 應用穿支皮瓣遊離移植脩複足部創麵缺損,臨床效果滿意,是脩複此類創麵的較理想選擇.
목적 탐토응용천지피판유리이식수복족부창면결손적림상료효.방법 2006년3월지2009년12월,응용하지4충천지피판유리이식수복20례족부창면결손환자,남15례,녀5례;년령18～61세,평균28.5세;좌측7례,우측13례.결손창면부위:족배12례,족근족저부5례,족과부3례;창면대소위2.0 cm×3.5 cm～12.0 cm×18.0 cm.피판선택:고전외측천지피판5례,고전내측천지피판7례,비천동맥천지피판5례,비동맥천지피판3례. 결과 본조20례환자피판전부성활,술중2례환자출현혈관위상,경급시처리후혈운회복.20례환자술후획3～6개월(평균5.2개월)수방,피판질지、외관균량호,기중13례문합피신경회복료보호성감각,공구유합가,공능무영향.결론 응용천지피판유리이식수복족부창면결손,림상효과만의,시수복차류창면적교이상선택.
Objective To discuss the clinical effects of reconstruction of soft-tissue defects in foot using free graft of perforator flap. Methods From March 2006 to December 2009, 4 kinds of free graft of perforator flap form the lower extremity were used for reconstruction of soft-tissue defects in foot in 20 cases.They were 15 males and 5 females. Their ages ranged from 18 to 61 years old, with an average of 28. 5 years.Seven cases had defects in the left foot and 13 in the right. The defects were located in the dorsal foot in 12cases, the heel in 5 and ankle in 3. Five were reconstructed with anterolateral thigh perforator flaps, 7 with anteromedial thigh perforator flaps, 5 with superficial peroneal artery perforator flaps and 3 with peroneal artery perforator flaps. The defect areas ranged from 2.0 cm × 3.5 cm to 12. 0 cm × 18. 0 cm. Results All the flaps survived. Intraoperative vascular crisis occurred in 2 cases but the blood flow was restored after timely treatment. Follow-ups of 3 to 6 months showed all the flaps had a good appearance. Thirteen cases restored a good protective sensibility after nerve anastomosis. The donor sites healed well without sacrifice of their normal function. Conclusion Free graft of perforator flap is an effective method to reconstruct soft-tissue defects in foot.
