改良延迟小腿内侧逆行筋膜皮瓣交腿移植修复复杂创面

目的评估改良小腿内侧逆行筋膜皮瓣交叉移至在治疗复杂创面中的应用。方法 12例患者应用改良小腿内侧逆行筋膜皮瓣进行创面修复,其中7例为胫骨外露,3例为感染创面,2例为压力性溃疡。结果 17例皮瓣全部成活,伤口一期愈合。术后随访1～3年,皮瓣外形与功能均满意。结论复杂创面应用小腿内侧逆行筋膜皮瓣交叉移植是一种值得推荐的方法,具有操作简便、效果良好的优点。

Repair of Complex Wound with Modified Opposed Reversed Fascial Flap of Medial Leg

Objective To evaluate the clinical effects of the modified opposed reversed fascial flap of medial leg for repairing complex wound.Methods Twelve patients with complex wound were treated with modified opposed reversed fascial flaps of medial leg.There were tibia exposure in 7 cases,discontinuous wounds in 3 cases and pressure insoles in 2 cases.Results Twelve patients were followed up 1-3 years.All 17 flaps survived and incision healed primarily.The appearance and function of the flaps were all satisfactory.Conclusion The treatment of complex wound with the modified opposed reversed fascial flap of medial leg is recommendable.It can be easily and conveniently performed for more cases.