摘要
目的 总结腓肠神经伴行血管蒂岛状皮瓣的治疗效果。方法 从 1997年起应用腓肠神经伴行血管蒂岛状皮瓣移位修复小腿软组织缺损 3例 ,踝部 3例 ,足部 8例 ;其中 1例交腿移位。切取皮瓣范围 4cm×3cm～ 14cm× 12 cm,血管蒂长 7～ 16 cm,均为逆行移位。结果 术后 12例皮瓣成活 ,1例部分坏死 ,1例全部坏死。其中 10例伤口 期愈合 ,3例经换药后愈合 ,皮瓣坏死的病例行游离皮瓣移植术。 9例获得随访 ,时间 3～ 2 1个月 ,外观功能恢复良好 ,皮肤质地接近正常 ,6个月后感觉部分恢复。结论 腓肠神经伴行血管蒂岛状皮瓣血供可靠 ,转移范围大 ,损伤小 ,操作简便 ,可用于修复小腿前侧、踝部及足部近侧 1/ 2软组织缺损 。
Objective To sum up the application experience of the sural nerve island flap pedicled with the collateral vessels.Methods From 1997, the retrograde flow sural nerve island flaps pedicled with collateral vessels were performed to repair the soft tissues defects of the shank in 3 cases, ankle in 3 cases and foot in 8 cases. Results Twelve flaps were survived, one flap was partially necrosed and one flap was necrosed.Among them, 10 wounds healed by first intention, 3 cases were healed after changing dressing and the one necrosed flap was repaired by free flap transplantation.Nine cases were followed up for 3 to 21 months and had fine appearance and function.The flap texture was similar to normal skin,the sensation of flap partially recovered after 6 months.Conclusion The flap has more reliable blood supply and great rotation arc,it is easy to resect with little injury. It is excellent for repairing the soft tissues defect in the anterior leg, ankle and proximal half of foot. It is more significant while the main blood vessels are damaged.
出处
《中国修复重建外科杂志》
CAS
CSCD
2000年第4期223-225,共3页
Chinese Journal of Reparative and Reconstructive Surgery
基金
襄樊市重点科技基金资助项目!(19985)
