摘要
目的 报道改进腓肠神经营养血管皮瓣的手术方法及临床应用效果。 方法 在解剖观测基础上设计以腓动脉终末穿支为血管蒂 ,沿腓肠神经营养血管轴线切取皮瓣转位修复小腿下段及足踝部皮肤软组织缺损。 结果 临床应用 7例 ,皮瓣全部成活 ,皮瓣面积 30 cm× 10 cm～ 2 3cm× 8cm,穿支血管蒂长 1.6～ 3.0 cm。随访 6～ 12个月 ,皮瓣质地优良 ,外形与功能改善满意。 结论 该术式扩大了皮瓣的切取面积及修复范围 ,皮瓣血供可靠 ,手术简便 ,适用于修复小腿下段及足踝部大面积皮肤软组织缺损。
Objective To report the improved operative technique and clinical results of sural nerve nutritional vessel axial flap Methods Based on anatomical studies,the sural nerve nutritional vessel flap pedicle with the lowest perforating branch of the peroneal artery were performed to repair the soft tissue defects of the lower leg,the ankle and the foot Results The modified flaps were applied in 7 cases,all flaps survived completely The size of the flap ranged from 30 cm×10 cm to 23 cm×8 cm The length of pedicles were 1 6～3 0 cm The colour and texture of flaps were excellent,the outline and functional results were satisfactory after 6～12 months follow up Conclusions This new procedure can enlarge the survival and repairing area of the flap,it can also solve the distortion problem of fasciocutaneous pedicle The blood supply of this flap is reliable Flap elevation is easy and quick It is very useful in repairing large skin defects of the lower leg,the ankle and the foot
出处
《中华显微外科杂志》
CSCD
北大核心
2001年第3期167-169,共3页
Chinese Journal of Microsurgery
基金
海南省卫生厅科研基金资助项目 (9845)
