摘要
目的：报告比目鱼肌瓣带蒂移植修复对侧小腿软组织缺损临床应用结果。方法：自2008年1月至2013年1月,应用比目鱼肌瓣移植修复对侧小腿软组织缺损8例,男7例,女1例;年龄20-49岁,平均31.8岁。损伤至手术时间：2-8周,平均46 d。肌瓣表面行Ⅰ期中厚网状游离植皮,供区直接缝合。结果：8例肌瓣全部成活,其中1例,受区创缘去除引流条后每天从引流孔有少量渗出液流出,经2周换药处理自然愈合。8例患者均获随访,时间1.5-4年（平均2.5年）。胫腓骨骨折全部愈合,受区外形较好。下肢功能按LEM标准评定,优2例,良5例,尚可1例。结论：比目鱼肌瓣带蒂移植很适宜伤肢仅有1条主要血管伴有软组织缺损的修复,可以减轻对供区的损伤。
Objective：To summarize the clinical application results of the repair soft tissue defect in contralateral leg with a cross leg soleus muscle flap pedicle transplantation. Methods：From January 2008 to January 2013,8 patients with soft tissue defect in lower leg underwent reconstruction with a cross leg soleus muscle flap pedicle transplantation（without microvascular anastomoses）. There were 7 males and 1 female,aged from 20 to 49 years old with an average of 31.8 years. The operative time after injury was from 2 to 8 weeks with the mean of 46 days. The soleus muscle flap was transposed across to the contralateral leg defect area,then immediate to perform the coverage of the muscle flaps by a meshed split thickness skin graft. The donor site was closed directly. Results：All the muscle flaps had survived completely. In one case,recipient area edge had a less exudate from drainage hole everyday,the incision spontaneously was healed after 2 week＇s changing dressing. Follow up period ranged form 1.5 to 4 years with an average of 2.5 years postoperatively. The tibia and fibula fractures were healed well. A good contour was achieved at the recipient area. According to LEM standard,2 cases got excellent results,5 good and 1 fair. Conclusion：Soleus flap pedicle transplantation is very suitable to repair the soft tissue defect of the injuried leg only one main blood vessel,and can reduce the damage of donor area.
出处
《中国骨伤》
CAS
2015年第11期1052-1055,共4页
China Journal of Orthopaedics and Traumatology
关键词
软组织损伤
外科皮瓣
带蒂肌瓣
Soft tissue injuries
Surgical flaps
Pedicle muscle flap
