带腓肠神经伴行血管蒂筋膜皮瓣修复小腿及足踝部软组织缺损创面38例临床分析  

The Clinical Analysis of 38 Patients with Soft Tissue Defection in Leg and Ankle Repaired by Skin Flap Pedicled with Vascular Axis and Sural Superficial Nerve

作　　者：李孟和 何梦龙 

机构地区：[1]广东省阳江市人民医院烧伤整形科,529500

出　　处：《岭南急诊医学杂志》2014年第1期30-31,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:总结带腓肠神经伴行血管蒂筋膜皮瓣修复小腿及足踝部软组织缺损创面的临床效果。方法:回顾性分析2003年8月至2012年8月我科应用带腓肠神经伴行血管蒂筋膜皮瓣修复小腿及足踝部软组织缺损创面38例的临床资料。结果:35例术后皮瓣全部成活,创面一期愈合;3例皮瓣远端部分坏死,经清创换药、游离植皮后愈合。平均住院25天,术后30例经6个月至5年随访,皮瓣质地优良,外观与足踝关节功能恢复满意,感觉神经也部分恢复。结论:带腓肠神经伴行血管蒂筋膜皮瓣修复小腿及足踝部软组织缺损创面的临床效果好。Objective： To summarize the clinical effect of patients with soft tissue defection in leg and ankle repaired by skin flap pedicled with vascular axis and sural superficial nerve. Methods： The clinical data of 38 patients with soft tissue defection in leg and ankle repaired by skin flap pedicled with vascular axis and sural superficial nerve were analyzed retrospectively from Aug 2003 to Aug 2012. Results： The flaps survived totally in 35 cases and the wound healed by first intention. The distal necrosed partically and secondary debridement, free-skin grafting were further conducted in 3 cases. 30 cases were followed-up from 6 months to 5 years. The appearances of flaps were excellent and the functional recoveries of ankles were good. Function of the sensory nerves was partially recovered. Conclusion： The soft tissue defection in leg and ankle repaired by skin flap pedicled with vascular axis and sural superficial nerve has good clinical effects.

关 键 词：腓肠神经 筋膜皮瓣 小腿 足踝部 软组织缺损 

分 类 号：R658.3[医药卫生—外科学]