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足底内侧游离皮瓣、肌皮瓣移植修复足跟缺损 被引量:6

Repair of heel defect with a free medial plantar flap
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摘要 我们采用吻合血管、神经的足底内侧游离皮瓣、肌皮瓣移植修复足跟软组织缺损8例,皮瓣全部成活。4~6周后负重行走,经6~24个月随访,移植皮瓣无1例出现溃疡,感觉恢复良好,两点分辨觉达2.0~3.Ocm。我们强调了神经吻合的重要性,认为皮瓣的感觉恢复是防止溃疡发生、取得远期良好效果的首要条件。 The results of reconstruction of plantar heel defects with a local random flap or an island medial plantar flap have in a majority of cases been satisfactory. Howev- er, in cases of extensive plantar defects, local tissue transfers are almost impossible. Since 1988, 8 cases with extensive plantar defects have been treated using free medial plantar cu- taneous or musculocutaneous flaps. All flaps survived, six weeks postoperatively, full weight--bearing was obtained and normal activities were resumed. No ulceration in the flaps has been noted in the follow up period between 6 and 24 months, and the two poiint discrimination was from 20 to 24 mm. The paper particularly points out the importance of nerve repair in the reconstruction, because recovery of the protective sensation is the most important factor to prevent plantar ulceration, and is the basis for good operative results.
机构地区 杭州整形医院
出处 《中华整形烧伤外科杂志》 CAS CSCD 北大核心 1994年第2期92-94,共3页
关键词 皮瓣 肌皮瓣 足跟 显微外科手术 Flap Musculocutaneous fiap Heel Microsurgery
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参考文献1

  • 1Lin S D,Br J Plast Surg,1991年,44卷,107页

同被引文献12

  • 1李德祥,严明忠,吴晓华,吕爱民,黄为昆,周敏.各种肌皮瓣修复电击伤的临床应用[J].职业与健康,2004,20(8):119-120. 被引量:1
  • 2路青林,王成琪,张成进,魏海温,王建利,张树明,王增涛,陈勇.轴型皮瓣肌皮瓣修复足跟感染性创面[J].中华显微外科杂志,1994,17(4):241-242. 被引量:8
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  • 5祖衡兵 刘国平 任风东 等.电击伤致双侧喉返神经麻痹一例报告.中华神经外科杂志,2001,34(1):22-22.
  • 6[4]Hidalgo DA.Anatomic basis of plantar flap design[J].Plast Reconstr Surg,1986,78:627.
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  • 10谭样清,庞水发,劳振国,黄粹业.足跟部软组织缺损的显微外科修复[J].中华显微外科杂志,2000,23(2):143-144. 被引量:21

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