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外踝上穿支皮瓣修复伴肌腱和（或）骨外露的小腿及足部软组织缺损创面疗效分析
Clinical Efficacy of Lateral Supramalleolar Perforator Flap in Treating Soft Tissue Defect of Calf and Foot with Tendon and / or Bone Exposed

孙恒亮,占利民,汪辉,钱锐,孙群.外踝上穿支皮瓣修复伴肌腱和（或）骨外露的小腿及足部软组织缺损创面疗效分析[J].中国烧伤创疡杂志,2022,(6):393~396.

DOI：

英文关键词:Lateral supramalleolar perforator flap Soft tissue defect Bone exposure Tendon exposure Lower extremity Wound Repair

基金项目:

作者	单位
孙恒亮	241001 安徽芜湖, 芜湖市第二人民医院烧伤科
占利民
汪辉
钱锐
孙群

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中文摘要:

【摘要】目的探讨外踝上穿支皮瓣修复伴肌腱和 (或) 骨外露的小腿及足部软组织缺损创面的临床效果。方法给予 2018 年 6 月至 2020 年 6 月芜湖市第二人民医院收治的 16 例伴肌腱和 (或) 骨外露的小腿及足部软组织缺损患者应用外踝上穿支皮瓣进行修复, 观察皮瓣成活情况? 皮瓣转移区愈后皮肤外观及感觉功能恢复情况。结果 16 例患者中除 4 例患者因皮瓣远端少量表浅组织坏死行二次植皮后愈合外, 其余 12 例患者术后皮瓣均成活良好, 创面一期愈合, 愈合时间为7～30 d。术后随访6个月～2 年, 所有患者愈后皮肤均恢复良好, 无复发, 皮肤色泽与周围正常皮肤无明显差别, 质地柔软,肢体感觉功能分级均为 S2 级, 行走时无疼痛等不适症状。结论采用外踝上穿支皮瓣修复伴肌腱和 (或) 骨外露的小腿及足部软组织缺损创面, 皮瓣成活率较高, 创面愈合较好, 值得临床推广应用。

英文摘要:

【Abstract】 Objective To investigate the clinical efficacy of lateral supramalleolar perforator flap in treating soft tissue defect of calf and foot with tendon and / or bone exposed. Methods 16 patients with soft tissue defect of calf and foot with tendon and / or bone exposed, admitted into Wuhu Second People’s Hospital between June 2018 and June 2020, were treated with lateral supremalleolar perforator flaps, and the survival condition of flaps, skin appearance of healed recipient site, and recovery of sensory function were observed. Results Of the 16 patients, except 4 patients who received secondary grafting for wound healing due to superficial tissue necrosis of distal flaps, the other 12 patients all showed well survival of flaps, and achieved primary healing in 7 - 30 days. During the follow?up of 6 months and 2 years, the healed skin of all patients recovered well, soft in texture and without relapse. The color of healed skin was basically the same as the surrounding normal skin. The sensory functions of lower extremities were assessed as grade S2 , and no pain or other uncomfortable symptoms was observed when walking. Conclusion The application of lateral supramalleolar perforator flap in the treatment of calf and foot soft tissue defect with tendon and / or bone exposure can realize high survival rate of flaps and good wound healing effect, worthy to be promoted in clinical practice.