摘要
目的探讨角形穿支筋膜皮瓣修复小腿中小面积缺损的临床效果。方法2008年4月至2010年11月,临床应用角形穿支筋膜皮瓣修复12例门诊小腿皮肤缺损患者,男4例,女8例,包括基底细胞癌、鳞癌、外伤、血管瘤、色素痣各2例,鲍温氏病、骨外露各1例,手术修复范围为3cm×3cm~5cm×5cm。结果临床应用12例,1例远端出现轻微血运障碍,经换药后愈合,余11例皮瓣全部成活良好。经随访6个月至2年,小腿功能及外形恢复满意。结论小腿角形穿支筋膜皮瓣操作简单,成活率高,是修复小腿中小面积缺损的一种较好的方法。
Objective To explore the application of the horn shaped faseio-cutaneous flap for the middle or small defect of low leg. Methods Between April 2008 and November 2010,12 cases were covered the defects with horn flap in the leg, in which 4 cases were male, and 8 cases were female, such as squamous cell carcinoma, basal cell carcinoma, angioneoplasm, trauma and so on. Surgical repair of tissue defect size of about 3 cm× 3 cm- 5 cm × 5 cm. Results Twelve cases were treated. Vascular deficiency happened at the distal end of one flap. All the other 11 flaps survived. The appearance and functional results were satisfactory with following up for 6 to 24 months. Conclusions The horn shaped fasciocutaneous flap is simple, reliable, easy to perform, has a low complication rate, is cosmetically acceptable and provides an alternative for the defect of the leg.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2011年第5期337-339,共3页
Chinese Journal of Plastic Surgery
基金
安徽省自然科学基金资助项目(11040606M202)
关键词
下肢
筋膜皮瓣
修复外科手术
Lower extremity
Faseio-eutaneous flap
Reconstructive surgical procedures