隐神经-大隐静脉营养血管与逆行胫后动脉皮支蒂复合瓣在足跟部瘢痕修复中的应用  

Application in restoration of heel scar with regressive flap based saphenous nerve-great Saphenous vein nutritional vessels and cutaneous branch of posterior tibial artery complex flap distally-based pedicled

作　　者：黄永新 詹新华 傅福仁[2] 范金财[3] 吴祖煌 林雪梅 谢洋春[3] 

机构地区：[1]福州总院第一附属医院烧伤整形科,福建莆田351100 [2]莆田学院美容外科教研组 [3]中国医学科学院整形外科医院

出　　处：《中国美容医学》2009年第3期292-294,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用隐神经-大隐静脉营养血管与逆行胫后动脉皮支蒂复合瓣修复足跟部瘢痕的疗效。方法:应用隐神经-大隐静脉营养血管与逆行胫后动脉皮支为蒂的复合瓣修复足跟部瘢痕共11例。设计的皮瓣面积为6cm×8cm～9cm×16cm。结果:11例患者皮瓣全部成活,创面Ⅰ期愈合,术后随访患者3～24个月,均取得满意效果。结论:隐神经-大隐静脉营养血管与逆行胫后动脉皮支蒂复合瓣相对较长,血供可靠,皮瓣可切取面积大,是修复足跟部瘢痕的理想皮瓣。Objective To evaluate the curative effect of regressive flap based saphenous nerve-great saphenous vein nutritional vessels and cutaneous branch of posterior tibial artery complex flap distally-based pedicled in repairing heel scar. Methods 11 cases of the heel scar were repaired with regressive pedicled skin flap based saphenous nervegreat saphenous vein nutritional vessels and cutaneous branch of posterior tibial artery complex flap distally-based pedicled Planned area of skin flap were 6cm×8cm×9cm×16cm. Results In the 11 cases of skin flaps,these flaps were completely alive. Followed up for 3 months to 2 years the flap survived very well,and foot restored well function. Conclusion Regressive flap based saphenous nerve-great saphenous vein nutritional vessels and cutaneous branch of posterior tibial artery complex flap distally-based pedicled has reliable blood supply,skin flap pedicle is longer,superior texture and superior appearance,and incisive area of the flap is larger.It is very useful in reconstructing heel scar.

关 键 词：隐神经 大隐静脉营 复合瓣 足跟部瘢痕 修复 

分 类 号：R622[医药卫生—整形外科]