游离下腹部皮瓣修复足背软组织缺损

To repair soft tissue defects of the foot through the free abdominal flap

目的探讨游离腹部皮瓣修复足背软组织缺损的临床效果。方法2011年10月至2017年11月，对5例足背软组织缺损患者早期进行清创，以下腹部旋髂浅动脉或腹壁下动脉为轴型血管的下腹部皮瓣覆盖足背软组织缺损创面。结果5例患者皮瓣移植术后未出现血管危象，随访3个月至1年，皮瓣血运、质地、弹性、感觉好，无明显瘢痕挛缩，足部外形满意，足无明显疼痛及活动受限。结论下腹部皮瓣供区血管相对恒定，皮瓣切取方便，供区隐蔽可直接缝合，是覆盖足背软组织缺损的一种有效方法。

Objective To investigate the effect of free abdominal flap in repairing soft tissue defects of the foot. Methods From 2011.10 to 2017.11 ,there were 5 patients whose foot had soft tissue defect,in order to repairing,we had to do debridment at the early time, then made the anterior iliac artery or the inferior epigastric artery as the axial vessel. Results After the flap transplantation there was no vascular crisis in the 5 patients ,followed up for 3 months to 1 years, the blood supply, texture, elasticity and the foot was well in shape and feeling, the patients were satisfied, and the feet were functionally normal. Conclusions The application of free abdominal skin flap covers the soft tissue defect of the foot, the wound surface, the blood vessel the donor site is consistent, the flap is easy to prepare, and the area can be sutured directly, this is an effective treatment method.