组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (3): 253-.

• • 上一篇    下一篇

带蒂轴型皮瓣修复踝周皮肤软组织缺损 :病例报道与策略分析

  

  • 出版日期:2023-06-01 发布日期:2023-07-05

Axial pattern pedicled flaps in the repair of ankle soft tissue defects :

case report and strategy analysis

  • Online:2023-06-01 Published:2023-07-05

摘要:

 目的 观察应用不同带蒂轴型皮瓣修复踝周皮肤软组织缺损的临床效果。方法 2017年 1月至 2020年 12月,
对我科收治的 22 例踝周皮肤软组织缺损患者,分别应用 4 种带蒂轴型皮瓣进行修复,其中足底内侧皮瓣 13 例、腓
肠神经营养皮瓣 2 例、足背皮瓣 5 例、外踝上穿支皮瓣 2 例。皮瓣切取面积 3 cm×3 cm~10 cm×5 cm。供瓣区直接拉
拢缝合或植皮修复。结果 所有皮瓣和供瓣区移植皮片均成活。术后随访 6~24 个月,皮瓣外观满意,质地柔软,有
保护性感觉。结论 根据踝周皮肤软组织缺损的具体情况,结合不同带蒂轴型皮瓣特点进行优化选择,能获得预期效果。

关键词:

Abstract:

Objective To investigate the clinical effect of different axial pattern pedicled flaps in the repair of ankle soft
tissue defects. Methods From January 2017 to December 2020,four types of axial pattern pedicled flaps were used to repair
ankle soft tissue defects in 22 patients. There were 13 medial plantar flaps, 2 sural neurofasciocutaneous flaps, 5 dorsal foot skin
flap and 2 supra-ankle perforator flaps used in reconstruction. The flap size ranged from 3.0 cm×3.0 cm to 10.0 cm×5.0 cm.
The donor sites were sutured directly or covered with skin graft. Results All flaps and donor flap grafts survived well. Patients
were followed up for 6-24 months. Flaps had good appearance, soft texture and protective sensation. Conclusion According to
the specific situation of the skin soft tissue defect around the ankle, combined with the characteristics of various pedicled axial
flaps, the optimal selection can achieve expected effect.

Key words: