足部创面区域性划分及临床修复

THE REGIONAL DIVISION AND CLINICAL REPAIR OF THE DEFECTS OF FOOT

目的：通过对足创面区域性划分。明确损伤部位、范围和修复难点。选择修复方法。方法：１９８７年以来利用皮瓣转移和移植修复各类足创面７６例。作者建议将足部创面划分为６区。根据不同区域修复特点，推荐相应皮瓣修复，并提出足背前区（Ⅲ区）、足底前区（Ⅳ区）、趾背区（Ⅴ区）、趾底区（Ⅵ区）为临床难修复区，介绍对上述区域创面分别采用足底内侧皮瓣逆行转移、足底深支为蒂踝前逆行岛状皮瓣转移以及足背筋膜皮瓣修复的经验。结果：临床修复７６例，完全成活７１例，部分成活５例，患者均恢复负重行走。结论：区域性划分足创面，择优选用相对统一的皮瓣修复，对临床工作有一定指导意义。

Objective:By means of regional divide of the defects of foot,we can make clear the position of defects and the range of defects so as to choose the way to repair it,Methods:Seventy six cases of all sorts of defects of foot have been repaired by transfering and transplanting skin flap since 1987 The writer suggested dividing the defects of foot into six areas According to the need of repairing charicteristic of different area,correspondingt repair of skin flap was adopted,and four areas,including fore area of foot back(Ⅲ area),fore area of foot boffom(Ⅳ area),toeback area(Ⅴ area)and toe bottom area(Ⅵ area),were thought to be hard to be repaired in clinical treatment Meanwhile the writer introduced some repairing experiences of the mentioned defects of foot.Results:76 flaps were repaired,71 cases were completly alive,5 cases were partial alive;all of the patients walk with road Conclusions:Regional dividing the defects of foot and choyocutaneous flap repair have certain significance for clincal work