足部浅表低恶性肿瘤行局部广泛切除术后,往往造成严重的组织缺损,由于足部有行走和负重的特殊要求。修复常较为困难。作者应用邻近带神经血管蒂岛状皮瓣修复三例足跟和内踝旁组织缺损,效果满意,报告如下。例1,男,二十九岁,右内踝前下方复发性隆突性皮纤维肉瘤,病灶范围2×3cm,切除后皮肤缺损面积9×6cm,深达骨膜面,设计等大的足背岛状皮瓣,蒂部包括足背动、静脉、胫深神经及腓浅神经中间皮。旋转150°覆盖创面。供区用中厚 After extensive local resection of superficial and low-grade tumors of the foot, severe tissue defects are often caused due to the special requirements of walking and weight bearing on the foot. Repair is often more difficult. The authors used an adjacent island flap with neurovascular islands to repair three cases of heel and medial malleolus tissue defects with satisfactory results. The report is as follows. Case 1, male, 29 years old, recurrent epidermocarpus fibrous sarcoma inferior to the right medial malleolus, lesion range 2 × 3cm, skin defect area after resection 9 × 6cm, deep periosteal surface, the design of a large foot island The flaps include pedicled feet, veins, deep peroneal nerves, and superficial temporal nerves. Rotate 150° to cover the wound. Supply area with medium thickness