两种皮神经营养血管蒂逆行岛状皮瓣修复足踝部软组织损伤的临床效果  

Effects of the sural nerve and saphenous nerve nutrient vascular island flaps in repairing pediatric ankle or foot soft tissue defect

作　　者：魏立友[1] 王国强[1] 陈华[1] 张宏伟[1] 

机构地区：[1]河北省唐山市第二医院骨科,063000

出　　处：《中华医学美学美容杂志》2015年第1期23-25,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：河北省科技支撑计划（132777224）

摘　　要：目的 探讨两种神经营养血管蒂逆行岛状皮瓣修复足踝部软组织缺损的效果及适应证.方法 对19例足踝部软组织缺损的住院患儿,应用隐神经营养血管蒂逆行岛状皮瓣转移修复9例,应用腓肠神经营养血管蒂逆行岛状皮瓣转移修复10例,面积3 cm×5 cm至5 cm×13 cm.结果 19例患儿皮瓣全部成活,供区、受区伤口均Ⅰ期愈合,皮瓣质地与色泽良好.术后随访3～30个月,平均14个月,无继发性感染发生,感觉恢复S3-S4,皮瓣质地、肢体外形与功能满意.结论 两种神经营养血管蒂逆行岛状皮瓣血供可靠,不损伤主干血管,可重建感觉,此类皮瓣是修复足踝部软组织缺损的理想方法.Objective To investigate the clinical effects of the sural nerve and saphenous nerve nutrient vascular island flaps in repairing pediatric ankle or foot soft tissue defect.Methods From June 2009 to January 2013,19 cases of heel soft tissue defect were collected in hospitalized children,in which 10 cases of ankle or foot soft tissue defects were repaired with reversed sural nerve nutrient vascular island flaps and 9 cases with ankle or foot soft tissue defects with reversed saphenous nerve nutrient vascular island flaps.The skin defect areas were from 3 cm× 5 cm～5 cm× 13 cm.Results All neurocutaneous vascular flaps survived after transplantation,the wound of donor area and recipient area healed,and texture and color of flap were good.The postoperative follow-up for 3-30 months （an average 14 months） showed no secondary infection,sensory recovery for S3-S4,texture and color were similar to normal skin,and the limb shape and function were satisfactory.Conclusions The sural nerve and saphenous nerve nutrient vascular island flaps are reliable of blood supply,which do not damage the main vessel,and could reconstruct feeling.Such flaps are ideal to repair foot or ankle soft tissue defects.

关 键 词：儿童 岛状皮瓣 足踝 软组织缺损 隐神经 腓肠神经 

分 类 号：R658.3[医药卫生—外科学]