应用小腿后方轴型皮瓣创面修复30例疗效分析

Operative therapeutic effect of 30 cases of posterier axial pattern skin flap of the leg in tissue reconstruction

目的研究应用小腿后方以腘窝外侧皮动脉为蒂的轴型皮瓣进行足踝和膝部创面修复手术方法和效果。方法本组资料共30例,应用小腿后方轴型皮瓣进行足踝创面修复20例,小腿后方轴型皮瓣进行膝部创面修复10例。结果本组顺行及逆行转移皮瓣全部成活,无坏死,均达到Ⅰ期消灭创面、控制感染、改善局部功能的目的。结论小腿后方轴型皮瓣临床修复下肢创面较实用,疗效可靠。

Objective To report the procedure of posterior axial pattern skin flap of the leg in tissue recon-struction, and evaluate its effect. Methods Among the 30 cases ,the posterior axial pattern skin flap of the leg was used to reconstruct the foot tissure injury in 20 cases,and knee tissure reconstruction in 10 cases. Results All ca-ses survived with no necrosis,the injury was healed by first intension,infection was controled and local function was improved. Conclusion It is advantageous to reconstruct the tissue injury of the limb, using the posterior axial pat-tern skin flap of the leg.