目的 探讨足跟部皮肤缺损修复的围手术期处理。方法 本组46例，采用6种不同类型轴型皮瓣、肌皮瓣进行修复。其中足底内侧皮瓣14例，趾短屈肌皮瓣4例，口止母展肌皮瓣3例，背阔肌皮瓣7例，小腿内侧远端胫后动脉皮肤穿支皮瓣16例，足背皮瓣2例。结果 手术全部成功，随访3个月～4年，43例皮瓣有良好感觉功能，负重后无溃疡发生。3例感觉功能差，其中1例负重后皮瓣肿胀，有水泡形成。结论 修复方法根据病情而定，带蒂皮瓣注意保护好神经，受区皮肤感觉对负重功能有决定意义
OBJECTIVE: To investigate the efficacy of different flaps in the treatment of skin defect of hell. METHODS: Forty-six patients with skin defect of hell were adopted in this study. There were 39 males and 7 females, 29 years old in average. Six different flaps were applied in the reconstructive operation, 14 plantaris medialis flaps, 4 flexor digitorum brevis muscle flaps, 3 abductor hallucis flaps, 7 latissimus dorsi flaps, 16 distal medialis flaps of leg pedicled with the cutaneous branch of posterior fibial artery, 2 foot dorsum flaps. RESULTS: All the flaps survived, primary healing of the wound in 45 cases and secondary healing in 1 case. Followed up for 3 months to 4 years, 43 patients obtained good flap sensation, the function of weight bearing were satisfied in 43 patients. CONCLUSION: The six different flaps should be applied according to patient’s condition individually. The sensation of flap is very important to the function of weight bearing.
引用本文： 刘进炼,张卫平,王占长,刘长安,步建立,康强军. 足跟部皮肤缺损一期修复的围手术期处理. 中国修复重建外科杂志, 2000, 14(4): 232-233. doi: 复制