带血管蒂岛状及瓣修复四肢软组织缺损

TO REPAIR THE SOFT TISSUE DEFECT OF EXTREMITIES WITH ISLAND FLAP

我院从1985年10月至1991年5月先后采用四肢共六种带血管蒂岛状皮瓣修复其各种软组织缺损37例,除1例失败,其它36例全部成功。这种手术方法优点是:皮瓣血运好,抗感染能力强,加快创面愈合;供区面积较大,移动性大,手术操作安全,一次闭合创面,缩短疗程。不足是有的牺牲一条主要动脉和供区留有疤痕。本文就适应症,术式选择、时机及注意等问题进行了讨论。

From Oct. 1985 to May 1991, the writer used six kinds of island flap with vessel pedicle of extremities to repair 27 various defects of soft tissue. The repairing of total cases was successful except one failure case. The advantages of the operation are: the blood circulation of flap is good and its antiinfection ability is strong, which promote the wound healing. The size of flap coverage is relatively large. The mobility of flap is high. The process of operation is safe. The wound can be closed through one operation. So the period of treatment is cut down. The disadvantages of operation are: One of the main arteries of extremities has to be victimized and its supply area will leave scars. The operation indication and opportunity, the selection of operation style were discussed. It also discussed the matters that should be paid attention to during the operation. The photos of typical cases were attached.