隐神经营养血管蒂逆行岛状皮瓣的临床应用  

Clinical application of the reversed saphenous neurocutaneous concomitant vessel pedicled island flap

作　　者：马兆强[1] 张丽香[1] 于长征[1] 毕福海[2] 丛华[1] 

机构地区：[1]威海市文登中心医院,山东264400 [2]武警山东总队医院,济南250000

出　　处：《中国矫形外科杂志》2007年第10期740-740,741,共2页Orthopedic Journal of China

摘　　要：[目的]探讨隐神经营养血管蒂逆行岛状皮瓣修复足部、踝部及小腿下1／3软组织缺损的可行性。[方法]自1999年6月-2003年6月，对足部、踝部、小腿下1／3软组织缺损者应用隐神经营养血管蒂逆行岛状皮瓣转移修复6例。面积最大12cm×7cm，最小5cm×3cm，平均8cm×5．5cm。[结果]皮瓣全部成活。随访10个月-3年，皮瓣质地较好。[结论]隐神经营养血管蒂逆行岛状皮瓣是修复足部、踝部及小腿下1／3软组织缺损的良好方法。[ Objective] To investigate the clinical application of treating soft tissue defects of the feet,ankle and lower one third of the legs with reverse saphenous neurocutaneous concomitant vessel pedicled island flap. [ Method] From March 1999 to June 2003, six cases of soft tissue defects of the feet, ankle and lower one third of the legs were treated with reverse saphenous neurocutaneous concomitant vessel pedicled island flap. The size of flaps were from 12 cm × 7 cm to 5 cm × 3 cm, aver aging 8 cm ×5 cm. [Result]Flaps of 6 cases survived all showing good quality. After 10 months to 3 years follow-up,all of the six cases were thinked very good. [ Condusion] The reversed saphenous neurocutaneous concomitant vessel pedicled island flap treating soft tissue defects of the feet, the ankle and the lower one third of legs is easy to be performed. The flap has liable blood supply and does not sacrifice the major arteries.

关 键 词：外科皮瓣 治疗效果 软组织缺损 

分 类 号：R658.3[医药卫生—外科学]