矩形推进皮瓣修复儿童跟腱周围皮肤缺损

发布时间：2018-04-30 03:11

本文选题：轮辐伤 + 足跟　；参考：《河北医科大学》2017年硕士论文

【摘要】：目的:探讨应用矩形推进皮瓣修复儿童足跟部皮肤缺损的方法及疗效。方法:自2014年5月至2015年6月,共收治7例儿童跟腱周围皮肤缺损的病例,皮肤缺损面积为2.7cm×3.4cm—4.0cm×5.5cm,有1例在跟腱止点处部分断裂,其余6例跟腱保持完整。清创后采用自行设计的矩形推进皮瓣修复足跟部皮肤缺损。跟腱部分断裂者,先将有污染的残端切除,再闭合伤口。术后为降低皮瓣的张力,用1枚1.5mm克氏针将踝关节固定于跖屈位并用石膏托保护。结果:皮瓣全部成活,有2例伤口局部感染,经换药后愈合,其余伤口愈合良好。随访时间8-12个月(平均11.5个月),有2例患儿伤口瘢痕较明显,其余患儿皮瓣色泽、质地与周围组织接近,踝关节功能皆正常,治疗效果满意。结论:矩形推进皮瓣操作简单,安全可靠,是修复儿童跟腱周围皮肤缺损的有效方法。
[Abstract]:Objective: to explore the method and effect of rectangular thrust skin flap for repairing heel skin defect in children. Methods: from May 2014 to June 2015, a total of 7 children with skin defects around Achilles tendon were treated. The area of skin defect was 2.7cm 脳 3.4cm-4.0cm 脳 5.5 cm. There was a partial rupture at the end of Achilles tendon in 1 case, and the remaining 6 cases remained intact. After debridement, the skin defect of heel was repaired with self-designed rectangular propulsion flap. In the case of partial rupture of the Achilles tendon, the contaminated stump is removed and then the wound is closed. In order to reduce the tension of the flap, a 1.5mm Kirschner pin was used to fix the ankle joint to the metatarsal flexion and to protect it with plaster. Results: all the flaps survived. Two cases of local infection healed after dressing change. The other wounds healed well. The follow-up time was 8 to 12 months (mean 11.5 months). There were 2 cases with obvious scar, the color and texture of the skin flap were close to the surrounding tissue, the function of ankle joint was normal, and the treatment effect was satisfactory. Conclusion: rectangular thrust flap is an effective method for repairing skin defect around Achilles tendon in children.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R726.8

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