小腿骨外露及皮肤软组织缺损的修复

Repairin9 crural skin and soft tissue defect with bone exposure

目的探讨修复小腿骨外露及皮肤软组织缺损的各种方法，以便于更好地用于临床。方法25例小腿不同部位的骨外露分别采用皮片移植、带蒂皮瓣及肌皮瓣转移、皮瓣及肌皮瓣游离移植等方法，覆盖外露的骨面。结果19例全部存活，3例皮瓣部分坏死，2例创口延迟愈合，1例游离皮瓣失败。结论对小腿骨外露及皮肤软组织缺损应尽量采用皮瓣及肌皮瓣的转移或移植来修复，修复创面、恢复功能的目的。

Objective To explore kinds of methods in the treatment of crural soft tissue defects with exposing bone. Methods 25 case of bone exposure in different position were treated with crural skin graft,skin flap transposition and free flap graft to cover the exposured bone. Results 19 of the 25 cases healing were taken by the first intention,skin flap in 3 case was partly necrosed, in 2 case healing were delayed,l case with free flap failed. Conclusion The defect of crural soft tissue with bone exposure should be repaired by the methods in common use which are skin flap transposition or graft.