多种组织瓣在足跟部软组织缺损修复的临床应用

Clinical application of types of flaps in repairing the soft tissue defects of heel

目的:探讨应用多种组织瓣修复足跟部软组织缺损的手术体会。方法:对多种原因造成足跟部软组织缺损的患者,根据具体情况选择腓动脉穿支皮瓣、足底内侧皮瓣、比目鱼肌瓣等其中一种修复方式进行修复。结果:自2009年7月至2012年5月我科采用了上述三种组织瓣对临床上不同情况足跟部软组织缺损进行修复,病例获随访3个月至2年,软组织缺损均修复,大部分患者恢复了足跟部负重及行走功能,治疗效果满意。结论:腓动脉穿支皮瓣、足底内侧皮瓣、比目鱼肌瓣修复足跟部缺损各具优缺点,能较好的解决临床所需,丰富了临床治疗方案。

Objective：Explore and discuss operative experiences of applying types of flaps in repairing sufl tissue defects of heel. Methods： One of the three types,the peroneal artery perforator flap,the medial plantar flap and the soleus muscle flap, was chosen to be carried out according to different soft tissue defects of patients. Results：Patients with soft tissue defects of heel were repaired by one of the three methuds from July 2009 tu May 2012. The fuflow-up visits lasted about 3 munths to 2 years after the surgery. Most patients were cured and regained weight-beaing and walking function. The operatiuns were suecessful. Conclusion：There are advantages and disadvantages of the peroneal artery perforator flap, the medial plantar flap and the soleus muscle flap. They can not only meet the needs but also enrich the clinical treatments.