双足皮肤脱套伤的一期修复

Primary reconstruction of skin avulsion injury on both feet

目的 探讨利用双侧股前外侧皮瓣联合胸脐皮瓣或背阔肌肌皮瓣一期修复双足皮肤脱套伤的临床效果。方法2005年6月至2011年8月共利用双侧股前外侧皮瓣联合胸脐皮瓣或背阔肌肌皮瓣一期修复双足皮肤脱套伤4例。其中切取带股前外侧皮神经的股前外侧皮瓣修复足底，胸脐皮瓣或背阔肌肌皮瓣修复足背。结果4例双足脱套伤均一期修复，皮瓣存活，术后功能外形良好，随访6个月至2年，足底感觉恢复良好，两点辨距觉为14-18mm，行走正常。结论利用双侧股前外侧皮瓣联合胸脐皮瓣或背阔肌肌皮瓣一期修复双足皮肤脱套伤，是一种较好的修复方法。

Objective To investigate the therapeutic effect of primary reconstruction of skin avulsion injury with bilateral anterolateral thigh flaps combined with thorax umbilicus flap or latissimus dorsi flap. Methods From June 2005 to Aug. 2011, 4 cases with skin avulsion injury on both＇ feet were treated. The bilateral anterolateral thigh flaps, including with anterolateral thigh cutaneous nerves, were transferred to cover the feet plantar. The thorax umbilicus flap or latissimus dorsi flap were used to cover the feet dorsum. Results All the skin avulsion injury were reconstructed primarily. All the flaps survived completely with good cosmetic and functional results. The patients were followed up for 6 months to 2 years with good sensory recovery（two point discrimination： 14-18 mm）. Conclusion The skin avulsion injury on both feet can be primarily reconstructed by bilateral anterolateral thigh flaps combined with thorax umbilicus flap or latissimus dorsi flap.