下肢穿支皮瓣修复足跟及踝部软组织缺损13例疗效观察

目的分析下肢穿支皮瓣修复足跟及踝部软组织缺损的疗效。方法选择东莞市塘厦医院2008年10月至2011年10月收治的足跟及踝部软组织缺损患者13例,均采用下肢穿支皮瓣修复,皮瓣面积为皮肤缺损的110%,吻合相应的血管和神经,观察皮瓣的成活以及缺损区域感觉恢复情况,术后随访6个月。结果手术成功13例,皮瓣均存活,术后均得到成功随访;从3周起逐渐有病例皮缘感觉恢复,术后4个月有皮瓣感觉恢复11例,6个月所有修复皮瓣感觉均恢复。结论下肢穿支皮瓣修复对供区损伤小、术后恢复较好,应为修复足跟及踝部软组织缺损的主要方法。

Clinical Observation on Leg Flap Repairing Heel and Ankle Soft Tissue Defects in 13 Cases

Objective To analyze the efficacy of leg flap repairing heel and ankle soft tissue defects.Methods Thirteen patients with heel and ankle soft tissue defects admitted to Dongguan City Tangxia Hospital from October 2008 to October 2011 were selected,and were repaired by leg flap with an skin area of 110% of the defect,the corresponding blood vessels and nerves were coincided,and the flap survival and defect area feeling recovery of the patients were observed and followed up for 6 months.Results Surgical success was achieved in 13 cases,the flaps survived,all the follow-up was successful;skin flap sensory recovery started from the third week after surgery,11 cases gained flap sensory recovery four months after surgery,flap feeling of all the cases were recovered six months after surgery.Conclusion Leg flap repairing has small damage to the donor site and good postoperative recovery,which should be the major method to repair heel and ankle soft tissue defects.