Department of Dermatology, Shizuoka Cancer Center, Shizuoka, Japan.
Division of Dermatology, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori University, Tottori, Japan.
J Dermatol. 2017 Sep;44(9):1043-1045. doi: 10.1111/1346-8138.13866. Epub 2017 Apr 13.
Skin grafting is a simple method for reconstruction of a large defect on the foot. Although skin grafting on the foot sometimes fails, it is not clear what factors influence the success rate of skin grafting. We analyzed data for 71 patients with skin cancer of the foot who underwent reconstruction of defects with skin grafting. The factors we evaluated were success rate of skin grafting, weight-bearing or non-weight-bearing area, immediate or delayed reconstruction, and whether a tie-over bolster was used or not. The success rates were higher in patients with lesions in non-weight-bearing areas than in patients with lesions in weight-bearing areas and in patients who underwent delayed reconstruction than in patients who received immediate reconstruction. On the other hand, the use of a tie-over bolster did not improve the success rate. In conclusion, delayed reconstruction is desirable if the lesion is located in a weight-bearing area.
植皮术是一种修复足部大创面的简单方法。虽然足部植皮有时会失败，但目前尚不清楚哪些因素会影响植皮的成功率。我们分析了 71 例足部皮肤癌患者的资料，这些患者均采用植皮术对创面进行了重建。我们评估的因素包括植皮成功率、负重区或非负重区、即刻重建或延迟重建，以及是否使用加压包扎。非负重区病变患者的植皮成功率高于负重区病变患者，延迟重建患者的植皮成功率高于即刻重建患者。另一方面，使用加压包扎并不能提高成功率。总之，如果病变位于负重区，建议进行延迟重建。
