腓浅神经营养血管皮瓣修复胫前软组织缺损  

Reconstruction for the soft tissue defect in the anterior tibial by superficial peroneal neurocutaneous flap

作　　者：孙汝涛[1] 刘会仁[1] 吴学强[1] 马铁鹏[1] 张艳茂[1] 于占勇[1] 王岩[1] 刘建华[1] 王力[1] 高烁[1] 

机构地区：[1]唐山市第二医院手三科,河北省唐山市063000

出　　处：《中华显微外科杂志》2015年第5期435-437,共3页Chinese Journal of Microsurgery

基　　金：湖北省医学适用技术追踪项目（G2015079）

摘　　要：目的 探讨应用腓浅神经营养血管皮瓣修复胫前软组织缺损的临床效果. 方法 自2006年4月-2013年11月,应用腓浅神经营养血管皮瓣修复胫前软组织缺损共26例,其中男19例,女7例.年龄25～58岁,平均39岁.左下肢10例,右下肢16例.缺损面积为2.0 cm×4.0 cm ～ 5.0 cm×7.0 cm.皮瓣切取面积为4.5cm×6.0cm～ 7.0cm×9.0 cm.顺行皮瓣8例,逆行皮瓣18例. 结果 26例皮瓣全部成活,术后1例出现皮下感染,于最低位拆开缝线、引流换药,3周后伤口愈合.其余病例供、受区伤口均Ⅰ期愈合.供区植皮全部成活.随访13 ～ 36个月,伤口无再破溃,愈合良好,皮瓣色泽、质地、弹性良好,外形满意. 结论 应用腓浅神经神经营养血管皮瓣不牺牲主干血管、成活率高、外形满意,是修复胫前软组织缺损的可靠方法.Objective To investigate the clinic effect of reconstruction for the soft tissue defect in the anterior tibial by superficial peroneal neurocutaneous flap.Methods From April, 2006 to November, 2013, 26 cases of soft tissue defects in the anterior tibial, resconstrution using superficial peroneal neurocutaneous flap.There were 19 males and 7 females, and aged between 25 and 58 years old, with an average of 39 years.The size of the defect ranged from 2.0 cm × 4.0 cm to 5.0 cm × 7.0 cm, and the size of the flap ranged from 4.5 cm × 6.0 cm to 7.0 cm × 9.0 cm.Eight proximally based flaps and 18 distally based flaps were used.Results The flaps surived in all the 26 eases besides l infected, which ealed by dress changing after 3 weeks.All donor sites survived.Followed-up from 13 months to 36 months, the appearances and funtions of the flaps was satisfied.Conclusion Superficial peroneal neurocutaneous flap is a good method to reconstruct the soft tissue defect in the anterior tibial.

关 键 词：腓浅神经营养血管皮瓣 小腿 软组织缺损 显微外科手术 

分 类 号：R658.3[医药卫生—外科学]