改良式腓肠神经滋养血管逆行岛状皮瓣的临床应用  

The clinical application about reforming sural vasa nervorum flyback island skin flap

作　　者：沈运彪[1] 叶祥柏[1] 王锡华[1] 夏来启[1] 陈忠勇[1] 李金玺[1] 苏影[1] 

机构地区：[1]新疆乌鲁木齐市兰州军区乌鲁木齐总医院烧伤整形科,新疆乌鲁木齐830000

出　　处：《中国美容医学》2012年第2期198-199,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:论证保留部分腓肠神经的小腿后侧筋膜皮瓣的成活可靠性和手术方法。方法:17例应用腓肠神经滋养血管逆行岛状皮瓣修复足、踝部创面,6例保留腓肠神经或部分腓肠神经,携带深筋膜保证皮瓣的血运供应。结果:17例皮瓣全部成活,6例保留腓肠神经的皮瓣成活良好,腓肠神经支配区域皮肤感觉正常或部分存在。结论:保留腓肠神经或部分腓肠神经的所谓腓肠神经滋养血管皮瓣完全成活,减少了神经损伤,有利于术后功能康复。Objective To explore the reliability and operation method of the meta-leg fascia skin flap which reserve portion sural nerve.Methods The 17 raw surfaces of foot and ankle have been repaired with sural vasa nervorum flyback island skin flap.The other 6 cases reserved intact sural nerve or portion sural nerve,the blood of skin flap provided by deepfascia.Results The 17 sural vasa nervorum flyback island skin flaps all survived well.The 6 cases which reserved portion sural nerve survived good,the skin sensation of area dominated by sural nerve is normal or part existence.Conclusion The sural vasa nervorum flyback island skin flap which reserve intact or portion sural nerve can survive well,and keep the merit with less nerve injury,this merit profit for functional rehabilitation.

关 键 词：保留腓肠神经 改良 腓肠神经滋养血管皮瓣 

分 类 号：R622[医药卫生—整形外科]