摘要
目的为修复足底大面积皮肤软组织缺损选择厚度合适的皮瓣供区提供科学的理论依据。方法选取100个正常成人(男、女各50人),以二维超声测量其足底软组织(包括第1、5跖骨头中心点、足弓顶点和足跟负重区中心点)与背阔肌皮瓣(肩胛下角处)、胸脐皮瓣(脐旁3cm)和股前外侧皮瓣(分上、中、下1/3中心点)的厚度,比较其厚度差异。结果背阔肌皮瓣、胸脐皮瓣与股前外侧皮瓣厚度差异有显著性;股前外侧皮瓣上1/3、中1/3、下1/3厚度之间差异有显著性;足跟负重中心点与第1、5跖骨头中心点、足弓区软组织厚度差异有显著性;股前外侧皮瓣中1/3厚度与足跟负重中心点软组织厚度差异无显著性;股前外侧皮瓣下1/3厚度与足弓区、第1、5跖骨头中心点软组织厚度差异无显著性。结论股前外侧皮瓣中1/3适合修复足跟负重区皮肤软组织缺损,股前外侧皮瓣下1/3适合修复前足底负重区和足弓区皮肤软组织缺损。
[Objective] To provide theory data for the choice of the free flaps to reconstruct large area soft tissue defect of the footplate. [Methods] Select one hundred adult （male 50, female 50）, apply ultrasonography to measure the thickness of the footplate （include the first phalanx center, the fifth phalanx center, the instep center and the heel center） and latissimus dorsi flaps （shoulder-blade inferior angle）, thoracic umbilical flap （3 cm beside umbilicus） and anterolateral thigh flap （divided into upper, middle and below three parts）. Contrast the disparity of the thickness between the ＇different sites. [Results] There is no statistical difference between the latissimus dorsi muscle-skin flap and the thoracic umbilical flap, but between these two flaps and the anterolateral thigh flap statistical difference exist. Between the upper, middle and below of the anterolateral thigh flap has significant disparity. Among of the thickness of the heel center, the first phalanx center, the fifth phalanx center, the instep center has significant disparity. The soft tissue thickness of the footplate has significance disparity with the latissimus muscle-skin flap, the thoracic umbilical flap and the upper anterolateral thigh flap. No significant differences in thickness were found between the middle anterolateral thigh flap and the heel center, but there is statistical difference between the middle anterolateral thigh flap and the first phalanx center, the fifth phalanx center, the instep center. No significant differences in thickness were found between the below anterolateral thigh flap and the first phalanx center, the fifth phalanx center and the instep center, but there is statistical difference between the below anterolateral thigh flap and the heel center. [Conclusion] The thickness of middle anterolateral thigh flap was the same as that of the beel center, it is the first flap supply to repair the large area soft tissue defect of the heel center. The thickness of below anterolateral thigh flap was
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第9期1388-1391,共4页
China Journal of Modern Medicine
基金
湖南省教育厅科研基金资助项目(No:05C469)
关键词
超声
皮瓣
足
tdtrasonography
flap
foot
