肌皮皮瓣在下肢軟組織缺損的覆蓋

中山醫學院附設醫院外科自1984年11月至1986年2月間的1年4個月裏共經歷十五個下腿軟組織缺損的病例，利用十七塊肌瓣來重建，除了其中一個病例是電傷，一個是慢性潰瘍，一個是慢性骨髓炎外，其餘十二個病例都是因急性車禍外傷所引起。術後經過一年以上追蹤檢查的病人有十二位，除了一位因受傷太厲害，術後走路時下腿後部有緊縮感（tenseness）及一位可能是擴創不徹底，術後仍繼續有滲出物從傷口出來外，其餘的十位病人都得到良好的效果。

關鍵字

肌膜；比目魚肌；血管莖

並列摘要

From Nov. 1984 to Feb. 1986, there were seventeen muscle flaps that used for coverage of leg defect in fifteen patients. Most of the patients were caused by trauma except three cases. The etiology of these three cases were as following: burn, chronic, ulcer and chronic osteomyelitis. Usually there transposed muscles were covered with mesh STSG. We had used fifteen flaps and these muscle group consisten of six Soleus, one Soleus and anterior tibialis, one Soleus and short Peroneus, Two short Peroneus, two Extensor digitorum brevis, one Extensor hallucis longus and two anterior tibialis. There were twelve cases with at least one year follow-up were not complete. The result of operation we found two cases need skin regrafting one case got tenseness of leg, one case felt fatigue while walking and one case still had continuous fistula. Finally only one the patient with continuous fistula, caused by chronic osteomyelitis for 33 years, had complication till now. Other cases were adequate to achieve the intended curative result.

並列關鍵字

epimysium ； soleus muscle ； vascular pedicle

國際替代計量

肌皮皮瓣在下肢軟組織缺損的覆蓋

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