序贯式带蒂皮瓣修复足踝部皮肤缺损

被引:17
作者
康庆林
贾亚超
王亚洲
徐佳
陈红浩
龚子凌
柴益民
曾炳芳
机构
[1] 上海交通大学附属第六人民医院骨科
关键词
腓肠神经营养血管皮瓣; 穿支皮瓣; 显微外科; 软组织缺损; 序贯式手术;
D O I
暂无
中图分类号
R658.3 [下肢];
学科分类号
100201 [内科学];
摘要
目的探讨序贯式带蒂皮瓣修复足踝部皮肤缺损的效果与手术技术。方法 2006年1月-2013年12月,采用序贯式带蒂皮瓣修复足踝部皮肤缺损共12例,其中4例伴有跟腱损伤,修复缺损面积4.8 cm × 3.5 cm~4.0 cm × 10.0 cm。序贯式手术包括腓肠神经营养血管皮瓣移位修复足踝缺损,继发的供区再采用局部菱形带蒂皮瓣修复,不需要额外的植皮手术。结果移植的全部皮瓣共24个完全成活,手术时间平均约1 h,随访6~16个月,移植皮瓣无臃肿、质地好,无片状的皮肤瘢痕,外形平整自然,无皱褶和色素沉着。踝关节伸屈功能均优于手术前,2例跟腱坏死者在皮瓣移植术后6~8个月再次接受肌腱移位手术,全部患者都取得了满意的效果。结论序贯式带蒂皮瓣修复足踝部软组织缺损是一种实用的手术方法,节省手术时间,避免了皮瓣供区植皮,修复效果好。
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