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游离皮瓣与肌皮瓣修复小腿及足部大面积软组织缺损
引用本文:关志广,王春梅,杨思奋,梅小霞. 游离皮瓣与肌皮瓣修复小腿及足部大面积软组织缺损[J]. 中国美容医学, 2009, 18(8): 1079-1080
作者姓名:关志广  王春梅  杨思奋  梅小霞
作者单位:东莞市康华医院整形美容中心,广东,东莞,523080
摘    要:目的:探讨游离皮瓣与肌皮瓣修复小腿及足部大面积皮肤软组织缺损的可行性。方法:应用游离背阔肌肌皮瓣,肩胛皮瓣,胸脐皮瓣三种方法修复小腿及足部大面积皮肤软组织缺损21例,分析其可行性与优点。结果:皮瓣全部成活,一期愈合18例,延期愈合3例。随访1~2年,皮瓣、肌皮瓣色泽正常,质地柔软。皮瓣臃肿6例,其余外观良好。行走及负重功能以及供区无明显功能受限。结论:应用游离皮瓣与肌皮瓣修复小腿及足部大面积皮肤软组织缺损具有修复面积大,能充分利用受区“废置”的血管以及抗感染能力强,促进早期功能锻练,质地好,一期能完全修复等优点。

关 键 词:游离皮瓣  肌皮瓣  缺损

The clinical application of free skin flap and myocutaneous flap for the soft tissue defect of leg nd foot
GUAN Zhi-guang,WANG Chun-mei,YANG Si-fen,MEI Xiao-xia. The clinical application of free skin flap and myocutaneous flap for the soft tissue defect of leg nd foot[J]. Chinese Journal of Aesthetic Medicine, 2009, 18(8): 1079-1080
Authors:GUAN Zhi-guang  WANG Chun-mei  YANG Si-fen  MEI Xiao-xia
Affiliation:(Department of Plastic Surgery,Kanghua HospitaI,Dongguan 523080,Guangdong,China)
Abstract:Objective To investgate the approch of free skin flap and myocutaneous flap transplantation for the soft tissue defect of leg and foot, Methods Free latissimus dorsi myocutaneous flap, scapular flap and thoracoumbilical flap were used to repair 21 cases of soft tissue defects of leg and foot. The feasibility and advantages were analized, Results All the flaps survived completely (18 cases primary healing and 3 cases delayed healing). All the flap have normal corlor and soft texture according to 1-2 years of follow-up. 6 cases of bulky appearance were observed. The functions of walking and weight loading are normal. Conclusions The free skin flap and myocutaneous flap for the defect repairing of leg and foot have many advantages: a large amount of tissue of both good color and texture, high viability,the "abandoned" vessesls recycling, high anti-infection ability and primary repairing.
Keywords:free skin flap  myocutaneous flap  defect
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