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[目的]分析对腓肠神经营养血管皮瓣及足底内侧皮瓣治疗足跟部软组织缺损的临床疗效.[方法]回顾性分析本院收治的42例足跟部软组织缺损患者的临床资料,其中采用足底内侧皮瓣修复25例(足底皮瓣修复组),腓肠神经营养血管皮瓣修复17例(腓肠肌皮瓣修复组).比较两组皮瓣修复面积、出院时FugL-Meyer下肢运动功能评分,并随访观察创面愈合、皮瓣存活及并发症发生情况.[结果]足底皮瓣修复组术后并发症发生率为20.0%(5／25)显著低于腓肠肌皮瓣修复组的52.9%(9／17),差异具有统计学意义(χ2=4.941,P=0.026<0.05).足底皮瓣修复组修复面积为(14.05 ±4.46)cm2显著低于腓肠肌皮瓣修复组的(54.03±15.51)cm2,差异具有统计学意义(t=12.229,P=0.000.05).[结论]足底内侧皮瓣、腓肠神经营养血管皮瓣均是修复足跟部软组织缺损的较为理想的方法,但足底内侧皮瓣修复面积有限,则需要根据足跟部软组织缺损的具体情况选择合适的皮瓣,以达到更好的临床疗效.“,”[Objective]ToanaLyzethecLinicaLeffectofsuraLneurovascuLarfLapandmediaLpLantarfLapinthetreatmentof softtissuedefectofheeL.[Methods]ThecLinicaLdataof42caseswithsofttissuedefectofheeLwereretrospectiveLyanaLyzed. 25caseswererepairedwithmediaLpLantarfLap (pLantarfLaprepairgroup),17caseswererepairedwithsuraLneurovascuLar fLap(gastrocnemiusmyocutaneousfLaprepairgroup).TherepairareaoffLapsandFugL-MeyerLowerLimbmotorfunctionscore atdischargewerecomparedbetweenthetwogroups,andthewoundheaLing,survivaLoffLapsandcompLicationswereob-served.[ResuLts]TheincidenceofcompLicationsinthepLantarfLaprepairgroupwas20.0% (5／25),significantLyLowerthan thatinthegastrocnemiusfLaprepairgroup52.9% (9／17),andthedifferencewasstatisticaLLysignificant(χ2=4.941,P=0.026<0.05).TherepairareaofpLantarskinfLapgroupwas(14.05 ±4.46)cm2,whichwassignificantLyLowerthanthatof gastrocnemiusmuscLeskinfLapgroup(54.03 ±15.51)cm2(t=12.229,P=0.000.05).[ConcLusion]MediaLpLantarfLapsandsuraLneurovascuLarfLapsareideaL methodsforrepairingsofttissuedefectofheeL.However,therepairareaofmediaLpLantarfLapsisLimited,soitisnecessaryto seLectappropriatefLapsaccordingtothespecificsituationofsofttissuedefectofheeLinordertoachievebettercLinicaLeffect. specificconditionsofheeLsofttissuedefecttoachievebettercLinicaLeffect.