【摘要】 目的 探讨皮瓣移植修复糖尿病足组织缺损的临床效果。方法 采用股前外侧皮瓣4例，背阔肌皮瓣1例，阔筋膜张肌皮瓣1例游离移植，腓肠神经营养血管蒂岛状皮瓣逆行转位3例，腓浅神经营养血管蒂岛状皮瓣逆行转位1例，小腿内侧皮瓣2例逆行移植修复糖尿病足组织缺损创面12例。皮瓣最大面积17cm×13cm，最小6cm×4cm。结果 12例皮瓣完全成活。经过6～13个月随访，质地、外观及功能满意。结论 移植皮瓣是修复糖尿病足组织缺损创面的理想方法。

    【关键词】 皮瓣；软组织缺损；修复；糖尿病

    Observation on clinical effects of skin flap repairing the soft tissues defects around the foot of the diabetes

    GUO Jian-bin,ZHANG Lian-hua,YIN Gang,et al.

    The Second Affiliated Hospital of Ningxia Medical College,Yinchuan 750001,China

    【Abstract】 Objective To investigate the clinical effect of skin flap repairing the soft tissues defects around the foot of the diabetes.Methods 12 patients with soft tissues defects around the foot of the diabetes were repaired by musculocutaneous,neurocutaneous axial island flaps transfer which included 4 cases of femoral forelateral flap,1 case of latissimus dorsi muscular flap,1 case of tensor fascia lata musculocutaneous flap,3 case of island flaps based on the sural nerve,1 case of island flaps based on the peroneus superficialis nerve and 2 cases of medial crural faee flap.The flaps measured 17cm×13cm to 6cm×4cm.Results All the flaps survived.The color and function were satisfactory after 6～13 months follow-up.Conclusion It is an ideal procedure to repair the soft tissues defects around the foot of the diabetes. ......