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目的修复足跟部恶性黑色素瘤切除后遗留的足跟部创面。方法应用足外侧皮瓣转移修复创面,皮瓣供区以中厚皮片移植。结果6例患者皮瓣全部成活,随访3～12个月,2例患者因黑色素瘤全身转移死亡,4例患者足跟部皮瓣形态、感觉及功能均满意。结论足外侧皮瓣具有皮瓣薄、质地好、血运好,解剖容易,转移方便,感觉好,抗磨耐压等特点,是修复足跟部皮肤缺损的理想皮瓣。
Objective To repair heel wounds left after excision of malignant melanoma in heel. Methods The lateral flap was used to repair the wounds. The skin flap was grafted with medium-thickness skin grafts. Results All the flaps of 6 patients survived. The follow-up ranged from 3 to 12 months. Two patients died of melanoma metastasis. The shape, sensation and function of the heel-flap of four patients were satisfactory. Conclusion The lateral flap of the lateral foot has the characteristics of thin flap, good texture, good blood supply, easy dissection, easy transfer, good feeling and anti-wear and pressure resistance. It is an ideal flap for repairing the skin defect of the heel.