摘要
目的探讨游离穿支皮瓣修复创伤性前足皮肤缺损的治疗效果。方法选取41例创伤性前足缺损患者,采用游离穿支皮瓣进行修复。本组使用5种游离穿支皮瓣进行修复,游离股前外侧穿支皮瓣32例,游离腓动脉穿支皮瓣2例,游离臂外侧穿支皮瓣5例,游离臂内侧穿支皮瓣1例,游离胸背动脉穿支皮瓣1例。结果患者随访(26.7±9.3)个月,38例术后愈合顺利,3例术后探查,1例愈合,2例失败。修复后的前足功能和外形满意。结论游离穿支皮瓣修复前足,外形满意,负重恢复和步态良好。
Objective To explore the treatment outcome of traumatic forefoot tissue loss reconstructions with free perforator flaps. Methods A total of 41 patients underwent traumatic forefoot tissue loss reconstructions with free perforator flaps.There were 5 types of free perforator flaps to be used in reconstructions: 32 cases of free anterolateral thigh perforator flaps,2 cases of free fibular flaps,5 cases of free lateral arm perforator flaps,1 case of free medial arm perforator flap and 1 case of free thoracodorsal artery perforator flap. Results Patients were followed up for( 26. 7 ± 9. 3) months. There were 38 cases postoperative healed well,3 cases to be re-explored,1 case healed and 2 cases failed. The overall functional and cosmetic outcomes were excellent. Conclusion Forefoot reconstruction with a free perforator flap provides satisfactory cosmesis,normal weight-bearing and gait good function.
出处
《创伤与急危重病医学》
2016年第5期298-302,共5页
Trauma and Critical Care Medicine
基金
成都军区医学科学技术研究计划项目(B14012)
关键词
游离穿支皮瓣
前足
创伤性
皮肤缺失
Free perforator flaps
Forefoot
Traumatic
Tissue loss