摘要
目的总结报告不同类型皮瓣修复足部皮肤缺损的疗效。方法根据皮肤缺损的部位,应用不同类型的皮瓣修复足部皮肤软组织缺损81例,其中带蒂逆行岛状皮瓣47例,吻合血管的游离皮瓣34例。结果3例皮瓣远端部分坏死;创面Ⅰ期愈合74例,Ⅱ期愈合7例。随访3个月~2年,足部功能及外形恢复良好。结论应用不同类型皮瓣修复足部皮肤缺损,其质地外形良好,根据皮肤缺损的部位及创面大小,正确选择皮瓣,防止和处理血管危象的发生是取得良好疗效的关键。
Objective To summarize and report the therapeutic effect of different types of repair skin flap in skin defects of foot region. Methods Different types of skin flap repairing in soft tissue defects of foot region were applied in 81 cases according to the location of skin defects, with 47 cases of pedicled reverse island flap and 34 cases of free skin flap in vascular anastomosis, Results Necrosis occurred in the distal part of skin flap in 3 cases. Wound surface in 74 cases had stage Ⅰ healing and 7 cases had stage Ⅱ healing. The 3 months - 2 years follow - ups showed that the recovery of function and exterior of the foot region was excellent, Conclusions Application of different types of skin flap repairing in skin defects of foot region has given excellent quality and exterior result. The key of obtaining good therapeutic effect is to correctly select skin flaps according to the location and size of wound surface of skin defects and to prevent and treat vascular crisis.
关键词
足
皮肤缺损
皮瓣
修复
Foot Skin defects Skin flap Repair