小隐静脉腓肠神经皮瓣修复足踝部软组织缺损  

Reconstruction of the Soft Tissue Defects on Foot and Ankle with Sural Neuro-veno-fasciocutaneousisland Flap on Sub-emergency

作　　者：赵刘军[1] 柴波[1] 冯建翔[1] 马维虎[1] 应启迩[1] 王邦荣[1] 张峰[1] 薛波[1] 平泉川[1] 

机构地区：[1]宁波市第六医院骨科,浙江宁波315040

出　　处：《实用骨科杂志》2007年第7期400-401,共2页Journal of Practical Orthopaedics

摘　　要：目的总结回顾延期行小隐静脉腓肠神经岛状皮瓣修复足踝部软组织缺损的经验教训,以指导临床实践。方法总结回顾2000年5月至2006年7月我院延期运用小隐静脉腓肠神经岛状皮瓣修复足踝部软组织缺损的患者32例,追踪随访其疗效。结果所有患者均获随访,平均随访时间为6.5个月（1-73个月）,皮瓣均存活,外观无明显臃肿。1例皮肤边缘坏死,1例感染,1例足跟部缺损患者手术后从事重体力劳动,出现溃疡。所有患者供区均无明显不适。结论延期行小隐静脉腓肠神经岛状皮瓣修复足踝部软组织缺损手术操作简单,成功率高,是修复足踝部中小面积软组织缺损的理想供区。Objective To conclude the experience of application of sural neuro-veno-fasciocutaneous island flaps for reconstruction of foot and ankle soft tissue defects. Methods Thirty-two patients with soft tissue defects on malleolus and ,foot were resurfaced with sural neuro-veno-fasciocutaneous island flap from May 2000 to July 2006 on subemergency, which means five to seven days after the injuries. Preoperative data, postoperative results and complications were recorded. The patients were followed up in out patient＇s department. Results All patients were followed-up for one to seventy. Three months average six and a half months. All flaps survived completely except marginal necrosis was seen in one and infection in another. There was no considerable morbidity on donor site for all patients. Conclusion Sural neuro-veno-fasciocutaneous island flap is effective to repair the small and medium soft tissue defects on malleolus and foot. The surgical technique is simple and easy to succeed. The procedure should be performed on subemergency.

关 键 词：延期 小隐静脉腓肠神经岛状皮瓣 软组织缺损 手术治疗 

分 类 号：R622.1[医药卫生—整形外科]