足背分裂皮瓣在类圆形皮肤缺损修复中的应用

目的 探讨应用长条形足背皮瓣修复类圆形创面的方法,使皮瓣宽度减小,供区创面能直接缝合.方法 根据缺损皮肤的面积设计,在足背设计面积相当的长条形足背皮瓣,然后从皮瓣中间斜形切开,形成"分裂皮瓣",使1个长条形皮瓣变为2个皮瓣,再通过扭转移动将分裂后的皮瓣改形拼合成与预修复受区相似的类圆形状,带蒂转移或游离移植修复类圆形创面.如此作长条形足背皮瓣修复类圆形创面,足背供区长条形创面可以直接缝合.结果 临床应用5例,其中带蒂局部旋转修复4例,游离移植1例,皮瓣均成活,足背供区均直接缝合,外形满意.结论 应用足背分裂皮瓣修复类圆形创面,受区创面有可能可直接缝合,大大减少供区植皮面积.

Clinical application of split dorsal pedal flap to repair round-like cutaneous deficiency

Objective To research the clinical application of split dorsal pedal flap for the repair of round-like soft tissue defect. Methods Design a long-strip dorsal pedal flap with slightly larger area than cutaneous deficiency,cut off the flap to the layer of superficial fascia along the suitable line degined in the middle of flap,and then rotate and reshape the split flap to resemble recipient area,and cover the wound surface based on pedical flap or free grafting;Meanwhile,donor area in dorsum of foot can be sutured directly.Results All the 5 cases of flap were survived,including one case which was free grafted and the others which were rotated locally, as well,donor area in dorsum of foot was satisfied because the cutting edge could be sutured directly. Conclusion It is a laudable modus operandi on account of beautiful outlook of both recipient and donor area.