低旋转点腓肠神经筋膜皮瓣修复足部中远端组织缺损的临床应用  

Make down the pivot point of sural neurofasciocutaneous flap to reconstruct tissue defects of middle or distant foot

作　　者：许瑾 王明刚 李勇[2] 武朱明[2] 余勇[2] 

机构地区：[1]安徽医科大学附属省立医院整形外科,安徽合肥230000 [2]安徽省蚌埠市第三人民医院烧伤整形科,安徽蚌埠233000

出　　处：《中国美容医学》2011年第3期372-374,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用低旋转点腓肠神经筋膜皮瓣修复足部中远端组织缺损的方法。方法:降低腓肠神经筋膜皮瓣的旋转点至外踝尖0～3cm范围,使皮瓣旋转后可以达到足远端,皮瓣一期转移,共修复10例,皮瓣面积5cm×6cm～12cm×18cm。结果:9例皮瓣全部成活,1例皮瓣远端出现约2cm2左右皮肤坏死,后行换药、植皮修复。结论:降低腓肠神经筋膜皮瓣的旋转点可用于修复足远端皮肤软组织缺损,解决了足部中远端组织缺损修复这一难题;其血供安全可靠,切取转移简便易行,拓展了该皮瓣的应用范围。Objective To approach the method of reconstruct tissue defects of middle or distant foot by make down the pivot point of sural neurofasciocutaneous flap.Methods We had used lower pivot point sural neurofasciocutaneous flaps in ten patients for reconstruction of tissue defects of distant foot by electrical injuries or traumatisms scince 2006.The size of the flap ranged from 6cm×5cm～12cm×18cm,and the pivot point is at the range of 0～3cm above the lateral malleolus.Results Nine flaps survived completely.In one flap,superficial necrosis about 2cm in distal parts occured and managed successfully by change of dressing and split-thickness skin graft.Conclusion Make down the pivot point flaps can procure enough length to transfer and repair defects at distal end of foot with a safety blood supply.The flap is easily to operated,quick and safe,do not injury major arteries and it expand the application of sural neurofasciocutaneous flap.

关 键 词：腓肠神经筋膜皮瓣 足部 软组织缺损 

分 类 号：R622[医药卫生—整形外科]