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.

关键词: 足跟; 皮肤缺损; 修复; 围手术期

Key words: Heel; Skin defect; Repair; Perioperative period

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