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足部组织缺损的显微外科修复

[Microsurgical restoration of foot tissue defects].

作者信息

Cai J, Sun B, Pan J

机构信息

Jinan Military General Hospital, Shandong.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1997 Jan;11(1):35-7.

PMID:9867949
Abstract

From 1984 to 1994, 236 different types of traumatic defects of foot were repaired by microsurgical tissue grafting. They included simple cutaneous flap in 187 and composite flap in 49. Among the 236 different tissue flaps, vascularized flap was used in 97 and pedicled flap in 139. The 4 fore-foot and 6 heel defects were repaired by composite skeleted cutaneous grafts with scapula and vascularized febula respectively. After the follow-up from 1 to 10 years, all the grafted tissues were survived and healed well. The functions were satisfactory, and 186 patients had resumed their original works. The key to good function following repair was to maintaion the integrity of foot structures and the sensation of the sole and heel.

摘要

1984年至1994年期间,采用显微外科组织移植修复了236种不同类型的足部创伤性缺损。其中包括187例单纯皮瓣和49例复合皮瓣。在这236种不同的组织皮瓣中,97例采用了带血管蒂皮瓣,139例采用了带蒂皮瓣。4例前足和6例足跟缺损分别采用带血管蒂的肩胛复合皮瓣和腓骨复合皮瓣修复。经过1至10年的随访,所有移植组织均存活且愈合良好。功能满意,186例患者已恢复原工作。修复后功能良好的关键是保持足部结构的完整性以及足底和足跟的感觉。

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