摘要
目的探讨应用腓肠神经营养血管皮瓣修复足踝部软组织缺损的临床效果。方法通过创面处理,皮瓣设计,实施手术和术后处理,完成修复过程。结果应用该皮瓣修复足踝部软组织缺损38例。术后38例皮瓣全部成活,其中有3例皮瓣远端部分坏死,经换药植皮后愈合。结论腓肠神经营养血管皮瓣皮肤质量较好,切取简便,供皮面积较大,不牺牲主要血管,成活率高,是修复足踝部软组织缺损的理想皮瓣。
[Objective]To explore the clinical effect of sural neurovascular flap to repair soft tissue defects in the ankle and foot. [Methods] 38 defective soft tissues in the ankle and foot were repaired with sural neurovascular flaps from July 2004 to December 2007. [ Results] All the 38 flaps survived with a satisfactory appearance and a good function. 3 cases were suffered from the distal skin necrosis, and were healed after debridement and intermediate thickness skin grafting. [ Conclusion ] The sural neurovascular flap has a good skin quality, a high survival rate, and a large donor skin area. The grafting is easy, without any sacrifice of the major blood vessel. So it is an ideal donor flap in repairing a large soft tissue defect in the ankle and foot.
出处
《职业与健康》
CAS
2008年第21期2348-2349,共2页
Occupation and Health
