腓肠神经营养血管逆行皮瓣修复足跟部软组织缺损  

Application of the reversed sural neurocutaneous island flap in repairing the soft tissue defect of the heel

作　　者：刘兴邦[1] 王运涛[1] 陶圣祥[2] 余国荣[2] 

机构地区：[1]潜江市中心医院骨科,湖北潜江433100 [2]武汉大学中南医院骨科,湖北武汉430071

出　　处：《实用手外科杂志》2016年第4期395-396,399,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨腓肠神经营养血管逆行皮瓣修复足跟部软组织缺损的临床疗效。方法2004年5月-2012年1月，应用腓肠神经营养血管逆行皮瓣修复足跟部软组织缺损40例，创面范围：3cm×3cm～4cm×5cm。术中切取皮瓣面积：4cm×4cm～5cm×7cm，结扎蒂部小隐静脉，腓肠神经近断端与腓浅神经接合，供区拉拢缝合后植皮。结果40例皮瓣术后完全成活，皮肤缺损得到覆盖，供区均Ⅰ期愈合。随访6～11个月．皮瓣外形、质地良好。结论腓肠神经营养血管逆行皮瓣修复足跟部皮肤缺损效果满意。Objective To investigate the clinic application of the reversed sural neurocutaneous island flap in repairing the soft tissue defect of the heel. Methods From May 2004 to January 2012, 40 cases of soft tissue defects of the heel were treated with the reversed sural neurocutaneous island flap when the wounds were fresh. The area of flap was 4 cm×4 cm to 5 cm×7 cm. The end of the small saphenous vein of the flap was ligated, the sural nerve anastomosis was coincided with the superficial peroneal nerve. Results All flaps were completely survived, the wounds were covered. The patients were followed up for six months to eleven months and the curative effect was satisfactory. Conclusion The reversed sural neurocutaneous flap is an ideal method for repairing the soft tissue defect of the heel.

关 键 词：腓肠神经营养血管逆行皮瓣 修复 足跟部 缺损 

分 类 号：R622.1[医药卫生—整形外科]